The Surgical Results of Common Canaliculo-Dacryo cystorhinostomy

Kong, Byung Do; Kim, Sang Duck

Abstract

Conjunctivo-dacryocystorhinostomy with the Jones tube has been commonly performed for the management of common canaliculi obstruction. However this procedure necessitates a long-term follow-up because of numerous potential complications. So the authors attempted common canaliculo-dacryocystorhinostomy with silicone tube intubation and the surgical outcomes were evaluated. Common canaliculo- dacryocystorhinostomy with silicone tube intubation was performed in 15 patients, 18 eyes. The patients presented with lacrimal sac mucocele, previous dacryocystectomy or unknown etiology. In 9 eyes 0.04% mitomycin C drops were applied for 1 week postoperatively. After a follow-up period of 6 months to 29 months, 16 eyes (88.9%) of 18 eyes were patent on lacrimal irrigation and 15 eyes (83.3%) showed relief of epiphora. In all of the 9 eyes who had applied mitomycin C showed patency and 7 of the remaining 9 eyes who had not applied mitomycin C showed patency on lacrimal irrigation. As the above results show common canaliculo- dacryocystorhinostomy is an effective method in the management of common canaliculi obstruction and the application of mitomycin C can improve surgical success.