Endocanalicular Nd:YAG Laser Dacryocystorhinostomy

Fay, Aaron; Michalos, Peter; Rubin, Peter A. D.

doi:10.1097/00004397-199903910-00016

Cited by 17 publications

(4 citation statements)

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“…One decade later, Levin and Stormo-Gibson [13], and seperately Silkiss et al [14] recognized that fiberoptic technology permitted delivery of laser energy via the canaliculus. This technique was introduced clinically by Michalos et al [15] shortly thereafter. Endocanalicular laser DCR has many advantages including avoidance of the possibility of external scar formation, preservation of the pumping mechanism of orbicularis muscle and avoidance of injury to the medial canthus.…”

Section: Resultsmentioning

confidence: 99%

The Success Rate of Endocanalicular Laser Dacryocystorhinostomy with Two Different Mitomycin-C Application

Altay¹

2015

Ann Clin Anal Med

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ÖzetAmaç: Endokanaliküler multidiod lazer dakriyosistorinostomi (ECL-DCR) operasyonlarında farklı iki mitomisin-c (mmc) uygulamasının başarı oranlarının belirlenmesi. Gereç ve Yöntem: ECL-DCR ameliyatı uygulanan primer akkiz nazolakrimal kanal tıkanıklığı olan 89 hasta üzerinde prospektif ve karşılaş-tırmalı çalışma yapıldı. Grup 1 de 44 hastaya ECL-DCR ameliyatı ve intraoperatif 0.4 mg/ml mmc 2 dakika süreyle, Grup 2 de 45 hastaya ECL-DCR ameliyatı ve intraoperatif 0.4 mg/ml mmc 5 dakika süreyle uygulandı. Hastalar en az 12 ay takip edildi. Epiforanın düzelmesi ve irrigasyonda nazolakrimal kanal açıklığı başarı kriteri olarak kabul edildi. Bulgular: Grup 1 de 44 hastanın 26 sında (%59.1), grup 2 de 45 hastanın 36 sında (%80) başarı elde edildi. Gruplar arasındaki fark istatistiksel olarak anlamlıydı (Ki-kare, p=0.03). Tartışma: Diod lazer ECL-DCR operasyonu, intraoperatif 0.4 mg/ml mmc 5 dakika uygulaması, primer nazolakrimal kanal tıkanıklığının tedavisinde etkili bir yön-tem olarak görünmektedir. Anahtar KelimelerEndokanaliküler Multidiod Lazer Dakriyosistorinostomi; Mitomisin-C; Nazolakrimal Kanal Tıkanıklığı Abstract Aim: To determine the success rate of different application of mitomycin-c (mmc) in endocanalicular multidiode laser dacryocystorhinostomy (ECL-DCR). Material and Method: A prospective comparative study was conducted on 89 patients with primary acquired nasolacrimal duct obstruction, undergoing ECL-DCR procedures. Group 1 was composed of 44 patients undergoing ECL-DCR with intraoperative 0.4 mg/ml mmc application for 2 minutes and group 2 was composed of 45 patients undergoing ECL-DCR with intraoperative 0.4 mg/ml mmc application for 5 minutes. Patients were followed up for at least 12 months.The main outcome measure for success was resolution or improvement of epiphora and patency of nasolacrimal duct with irrigation. Results: Final success was 26/44(%59.1) for group 1, and 36/45 (%80) for group 2.The difference was statistically significant (Chi-siquare, p=0.03). Discussion: Diode laser ECL-DCR with 0.4 mg /ml intraoperative mmc application for 5 minutes appears to be an effective treatment modality for primary nasolacrimal duct obstruction.

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Section: Resultsmentioning

confidence: 99%

The Success Rate of Endocanalicular Laser Dacryocystorhinostomy with Two Different Mitomycin-C Application

Altay¹

2015

Ann Clin Anal Med

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“…9 Various authors have emphasized the use of saline and viscoelastic material to dissipate heat and protect the canaliculi and common canaliculus during treatment. 10 There are no definitive guidelines for preventing collateral damage so far. Also there is deficient literature on the maximum safe amount of laser energy to be used.…”

Section: Discussionmentioning

confidence: 99%

Naso-cutaneous fistula following transcanalicular laser dacrocystorhinostomy

Goel

Garg

Nagpal

et al. 2014

Saudi Journal of Ophthalmology

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“…Woog et al [16] summarized the lasers used for endocanalicular laser dacryocystorhinostomy, and reported success rates ranging from 46% to 85%. The lasers used in endocanalicular laser dacryocystorhinostomy include argon, potassium titanyl phosphate (KTP):YAG, Holmium:YAG, Neodymium:YAG, and multidiode lasers [17][18][19][20][21][22]12].…”

Section: Discussionmentioning

confidence: 99%