The effectiveness of postoperative early ostium cleaning in transcanalicular diode laser-assisted dacryocystorhinostomy.
OBJECTIVE
To search the effectiveness of postoperative first week ostium cleaning in transcanalicular diode laser-assisted dacryocystorhinostomy (TDL-DCR).


METHODS
A total of 123 eyes of 123 patients with acquired dacryostenosis who had surgery were retrospectively evaluated. Diode laser was used in all patients. All patients were operated under local anesthesia by a single surgeon. Intranasal endoscopic cleaning of the ostium by surgical suction under local anesthesia was performed as an extra job in the postoperative first week visit.


RESULTS
Mean age of the patients was 55 (range, 41-78 years) years. Mean follow up was 13.4 months. Successful outcomes were achieved in 117 of 123 (95.1%) patients. Reoperation was performed in 6 patients with restenosis and were free of symptoms in 1-year follow up.


CONCLUSIONS
Postoperative first week cleaning of the nasal ostium by surgical suction with the aiding of nasal endoscopy is a very effective method increasing the success rate of TDL-DCR.
*Ophthalmology Department, Medicana Hospital, Konya; †Ophthalmology Department, Ondokuz Mayis University, Samsun; ‡Ophthalmology Department, Hitit University, Corum; and §Konya Training and Research Hospital, Konya, Turkey.
Halil Ibrahim
HI
Yener
Adem
A
Gul
Cagatay
C
Caglar
Muammer
M
Ozcimen
D000328:Adult; D000368:Aged; D000772:Anesthesia, Local; D003608:Dacryocystorhinostomy / Q000379:methods*; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D054023:Lasers, Semiconductor / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009301:Nasolacrimal Duct / Q000601:surgery*; D011182:Postoperative Care / Q000379:methods; D012189:Retrospective Studies; D013396:Suction / Q000379:methods*; D016896:Treatment Outcome