J Korean Ophthalmol Soc.  2008 Jan;49(1):19-26. 10.3341/jkos.2008.49.1.19.

The Result of Canaliculodacryocystorhinostomy with Double Probing in Common Canalicular Obstruction

• Lee TH
• Ha MS
• Cho SH

• KMID: 2211178
• DOI: http://doi.org/10.3341/jkos.2008.49.1.19

Abstract

PURPOSE: To evaluate the results of endoscopic canaliculodacryocystorhinostomy with double probing to resolve common canalicular obstruction.
METHODS
A total of 47 patients (56 eyes) with common canalicular obstruction underwent endoscopic canaliculodacryocystorhinostomy. The double probing method was applied to 28 eyes; the remaining 28 eyes were in the control group. The success rate, degree of symptom improvement, and complication rate of the two groups were compared and analyzed.
RESULTS
The postoperative success rate was 96% in the group that underwent surgery with the double probing method and 86% in the control group (P=0.160). The rate of symptom improvement without tearing was 86% in the double probing method group and 61% in the control group (P=0.038). Postoperative complication rates such as granuloma formation were 7% and 29% in the study and control groups, respectively (P=0.036).
CONCLUSIONS
Endoscopic canaliculodacryocystorhinostomy with double probing to resolve common canalicular obstruction is proven to be effective in enhancing patient satisfaction and lowering complication rates, with no additional costs and risks.

Keyword

Canaliculodacryocystorhinostomy; Common canalicular obstruction; Double probing method

MeSH Terms

Eye
Granuloma
Humans
Patient Satisfaction
Postoperative Complications

Figure

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  Figure 1. The photograph of putting two probes in the left lower canaliculus.

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  Figure 2. Photographs that shows scissoring motion of two probes. (A) External view. (B) Intranasal view.

Reference

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