Volume : 1
Issue : 1
Online ISSN : 2581-5229
Print ISSN : 2581-5210
Article First Page : 13
Article End Page : 18
Background: Dacryocystorhinostomy (DCR) done to treat chronic dacryocystitis and nasolacrimal duct stenosis may fail due to post-operative granulation tissue and synechia that form around the neo-ostium. Success rates vary in different studies and we are reporting our success rates of a modified DCR by using Prolene thread as a stent.
Methods: We performed a modified endoscopic DCR on twenty eyes; senior consultants operated ten eyes and the remainder ten eyes by residents under guidance. We used 6-0 Prolene suture as a stent, instead of silicon tubing, with the help of a 23G Viscoelastic cannula, from lower punctum to the neo-ostium, after creating a large bony opening to form an anastomosis for the lacrimal sac and nasal mucosa.
Results: The postoperative follow up period was 6 months. The success rate of endoscopic DCR using Prolene stent was 100% even in the hands of residents.
Conclusions: This modification enables an easy, safe, effective, reproducible, universally available and low-cost form of DCR easily implemented by surgeons doing this procedure, giving excellent results.
Key Words: Endoscopic Dacryocystostomy, Stent, Prolene