Outcome of lacrimal surgery in older patients

Postoperative Evaluation of Skin Incision in External Dacryocystorhinostomy

“…It can be performed safely under local anesthesia, on an outpatient basis, in elderly individuals. [1][2][3][4][5][6] Endoscopic and other nonincisional techniques mention the lack of a skin incision as one of the advantages over external DCR.…”

“…1 It can be performed safely in elderly patients under local anesthesia, with minimal blood loss, low economic cost, and a high success rate. [2][3][4][5][6] A visible skin incision is usually mentioned as one of the disadvantages associated with this procedure and is used as a reason to recommend endonasal or other nonincisional techniques. [7][8][9][10][11][12] We conducted a prospective study to evaluate the appearance of the skin incision used in external DCR at 6 weeks and 6 months after surgery in two ways: Three blinded, independent observers evaluated photographs, and the patients subjectively evaluated their own incision.…”

Single-Prick Infiltration Anesthesia for External Dacryocystorhinostomy

“…In recent years, there has been a progressive move by oculoplastic surgeons towards DCR performed under local anesthesia and intravenous sedation (Caesar & McNab, 2004;Hurwitz et al, 2000;Kratky et al, 1994;McNab & Simmie, 2002). The advantages of local anesthesia are early rehabilitation, less postoperative care, and obviously no complications related to general anesthesia.…”

Resultados e complicações da entubação bicanalicular em dacriocistorrinostomia externa

“…A média de idade foi de 64 anos, semelhante a outros estudos (14) . As taxas de sucesso encontradas na literatura relacionadas à cirurgia de DCR são altas variando entre 80% e 98% dos casos operados (15)(16)(17) , semelhante ao resultado obtido neste grupo de pacientes. Apesar disto, muito se tem buscado para o aprimoramento da técnica, seja através de uma abordagem diferente como nas técnicas endoscópica (18)(19)(20) ou transcanalicular (21) , pelo uso de substâncias no intra-operatório como a mitomicina (22) ou o 5-fluouracil (23) , como também através da entubação lacrimal (6)(7) .…”