Modified laser DCR for paediatric nasolacrimal duct obstruction

Choudhary, Ankit; Deans, J. A. J.; Moriarty, Brendan

doi:10.1038/sj.eye.6701886

Cited by 6 publications

(8 citation statements)

References 19 publications

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“…A decade ago Choudary et al [22], Doyle et al [23] and Nemet et al [24] argued that the laser devices could be used in DCR operation and added that their cost were very high and it did not appear to improve results. Hong et al [9] described the outcomes of endocanalicular laser dacryocystorhinostomy for 118 adult patients with nasolacrimal duct obstruction.…”

Section: Discussionmentioning

confidence: 98%

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Pediatric endocanalicular diode laser dacryocystorhinostomy: results of a minimally invasive surgical technique

Uysal

Özçimen²,

Yener³

et al. 2011

Eur Arch Otorhinolaryngol

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The purpose of this study was to evaluate the effectiveness of endocanalicular diode laser dacryocystorhinostomy (DCR), which is a minimally invasive surgical technique, in pediatric patients with congenital nasolacrimal duct obstruction (NLDO). A retrospective study was carried out on patients treated between October 2008 and August 2009 for nasolacrimal duct obstruction with an endocanalicular diode laser procedure. Patients diagnosed as having nasolacrimal duct obstruction were included in this study and an endocanalicular diode laser procedure was performed. The main outcome measures were patients' previous treatments, clinical presentation, operative and postoperative complications, postoperative follow-up and resolution of epiphora. Eighteen children (10 girls, 8 boys) with a mean age of 6.11 ± 2.08 years (range, 4-10) underwent 20 endocanalicular laser DCR operations for congenital NLDO. In all eyes (100%), there was a history of epiphora and chronic dacryocystitis; two (10%) presented with acute dacryocystitis. Previous procedures included probing and irrigation of all eyes (100%) and silicone tube intubation in nine eyes (45%). None of the patients underwent any previous DCR operations. During a mean postoperative follow-up period of 20.50 ± 3.24 months (range, 14-24 months), the anatomical success rate (patency of ostium on nasal endoscopy) was 100%, and the clinical success rate (resolution of epiphora) was 85%. Endocanalicular diode laser DCR is an effective treatment modality for pediatric patients with congenital NLDO that compares favorably with the reported success rates of external and endoscopic endonasal DCR. Moreover, it has an added advantage of shorter operative time, less morbidity and avoidance of overnight admission.

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Section: Discussionmentioning

confidence: 98%

“…Postoperative cares, consisting in the removal of fibrin, crusts and granulations under endoscopic guidance, are very difficult in very young patients [12,13,22,25,26] and so not done on a routine basis in this series of patients. At the follow-up visits, on endoscopic examination the ostium was seen to be patent in all cases.…”

Section: Discussionmentioning

confidence: 99%

Pediatric endocanalicular diode laser dacryocystorhinostomy: results of a minimally invasive surgical technique

Uysal

Özçimen²,

Yener³

et al. 2011

Eur Arch Otorhinolaryngol

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show abstract

“…Postoperative cares consisting in the removal of fibrin, crusts and granulations under endoscopic guidance are very difficult in very young patients [20][21][22][23][24][25][26][27][28] and so not done on a routine basis in this series of patients. Nevertheless the mother was instructed to wash the child's nose with a physiologic solution, to put a nasal ointment and eye drops with antibiotic and steroids three times a day for at least 2 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…Laser surgical devices can be used [25] but their cost is very high and it does not currently appear to improve results [26,27].…”

Section: Discussionmentioning

confidence: 99%

Pediatric endonasal endoscopic dacryocystorhinostomy

Eloy

Leruth

Cailliau

et al. 2009

International Journal of Pediatric Otorhinolaryngology

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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%