Korean J Ophthalmol.  2005 Dec;19(4):243-246. 10.3341/kjo.2005.19.4.243.

Eyelid Incision for Dacryocystorhinostomy in Asians

• Kim JH
• Woo KI
• Chang HR

• KMID: 754433
• DOI: http://doi.org/10.3341/kjo.2005.19.4.243

Abstract

PURPOSE
Dacryocystorhinostomy via an eyelid incision has been described in Western literature. This study was undertaken to confirm that eyelid incision for dacryocystorhinostomy is suitable in Asians, because Asians have anatomic features that differ from those of Westerners. METHODS: We performed dacryocystorhinostomy with an eyelid incision along skin wrinkles or relaxed skin tension lines in 57 eyelids of 49 patients from July 2003 to December 2004. The medical records of the patients were reviewed retrospectively. RESULTS: Postoperative scars were easily camouflaged by wrinkles or relaxed skin tension lines of the eyelid without major complications. CONCLUSIONS: An eyelid incision can be used for dacryocystorhinostomy in Asians, regardless of the lack of a definite lower eyelid crease and the presence of epicanthus.

Keyword

Asians; Dacryocystorhinostomy; Eyelid Incision

MeSH Terms

Treatment Outcome
Retrospective Studies
Middle Aged
Male
Lacrimal Duct Obstruction/ethnology/*surgery
Humans
Follow-Up Studies
Female
Eyelids/*surgery
Dacryocystorhinostomy/*methods
Child
Asian Continental Ancestry Group
Aged, 80 and over
Aged
Adult
Adolescent

Figure

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  Fig. 1 Postoperative features after eyelid incision in dacryocystorhinostomy (arrows: incision line). (A) A prominent wrinkle was used as the incision line. (B) A relaxed skin tension line was used. The medial end of the incision line should not cross the epicanthal fold. (C) A subciliary incision was used in cases without a definite crease. (D) Subciliary incision for child dacryocystorhinostomy.

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  Fig. 2 (A) A prominent wrinkle was used as the incision line (arrows: incision line). (B) A Knapp lacrimal sac retractor was used to retract tissues medially and a Storz double fixation hook to keep the superior portion of the surgical field exposed.

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