Raj Kumar Advani, Fiaz Mohammad Halepota, Syed Imtiaz Ali Shah, Wasif M Kadri.
Comparative results of Dacryocystorhinostomy with and without Silicon Intubation
Pak J Ophthalmol Jan 2004;20(1):29-34.
Taluka Hospital, Kamber, Larkana

This study was conducted from March 1998 to June 2001 with all required facilities avai-lable. The purpose of this study was to evaluate the efficacy of dacryocystorhinostomy (DCR) with silicone intubation in complicated nasolacrimal duct obstruction and compare with the results of classical DCR. The diagnosis was made on the basis of clinical evaluation, Jones Test 1 and If, syringing and probing, dacryocystography and lacrimal scanning in some selected cases. The male to female ratio in experimental and control group was 3.55:1 (78:22 cases) and in control group was 3.17:1(76:24 cases). In all cases standard procedure was adopted in control group (classical DCR), where as some modifications were done in experimental group. The operative complications were bleeding from nasal mucosa, bleeding from angular vein, ethmoid sinus exposure, nasal mucosa tear and dacryolith. The silicone tube was retained for six months and patients were followed for more than one year after surgery. We obtained 95% success results in experimental group while 88% in control group. This study suggests that the DCR with silicone intubation has excellent results and classical DCR has comparatively good success results, when properly done. Therefore the routine silicone intubation is unnecessary and unjustified.

Category: Eye
Keywords: Dacryocystorhinostomy. Nasolacrimal Duct. Silicon Intubation. Lacrimal Gland. Dacryolith.

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