OUTCOME OF ENDOSCOPIC DCR AT TUTH

Abstract

Objective:

The objective of this study was to find the outcome of endoscopic DCR (EDCR) and to find the factors causing failure of EDCR

Material and methods:

A prospective , longitidunal study including 75 patient diagnosed case of chronic  dacryocystitis was carried out at Ganesh Man Singh Memorial Academy (GMSMA) of ENT and HN studies, Institute of Medicine (IOM), Maharajgunj, Kathmandu from march 2005 to feb 2011.

Results:

Out of 75 patient, 35 were male and 40 were female, the age ranged from 18 to 60 years. After one year of follow-up post surgery, 7 patient had recurrence of epiphora. In 5 cases it was due to synechiae formation and in two cases due to upper lacrimal pathway obstruction.

Conclusion:

Endoscopic DCR is simple, safe and effective method to treat chronic dacryocystitis. Correction of nasal pathway should be done either before or during surgery to increase the sucess rate .

Keywords: complications, dacryocystitis, endoscopic DCR