title: Retrocaruncular approach to the medial orbit for dacryocystorhinostomy.
abstract: OBJECTIVE
  The objective of this study was to present a versatile approach to the medial orbit behind the caruncula for dacryocystorhinostomy.
  
  
  METHODS
  This study was a retrospective, non-comparative, case series with a description of the surgical technique. We report 11 procedures carried out on 10 patients, who were operated on for DCR using the retrocaruncular approach (RCDCR). Surgical indications and complications were recorded for every patient.
  
  
  RESULTS
  Lacrimal patency was obtained in 82% of the cases. The average follow-up was 2.81 months (1-6.5).
  
  
  CONCLUSIONS
  DCR may be safely completed through a retro-caruncular approach. The retrocaruncular approach provides excellent and safe exposure of the posterior aspect of the lacrimal sac, and it avoids the scarring associated with the skin approach.
authors.affiliation: Department of Ophthalmology, Dupuytren University Hospital, Avenue Martin Luther King, 87042 Limoges, France. pradenis@unilim.fr
authors.forename: Jean Paul
authors.initials: JP
authors.lastname: Adenis
authors.forename: Pierre-Yves
authors.initials: PY
authors.lastname: Robert
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003608:Dacryocystorhinostomy / Q000295:instrumentation / Q000379:methods; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D007507:Therapeutic Irrigation; D016896:Treatment Outcome