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Wydanie 3/2008
str. 29

Przezkanalikowa endoskopowa laserowa dacryocystorhinostomia - doświadczenia własne

Transcanilular Endoscopic Laser Dacryocystorhinotromy - Own Experience

Piotr Jaworski

OPTOMED - Ośrodek Chirurgii Oka w Katowicach Kierownik: dr Piotr Jaworski

Summary: Aim: The aim of the paper was trancanicular laser dacryocystorhinostomy (DCR) efficiency evaluation in cases of congenital or iatrogenic nasolacrimal duct obstruction and other parts of the lacrimal drainage system. Patients and Methods: Retrospective evaluation of the procedure efficiency was performer In 361 eyes of 301 patients with lacrimal drainage system obstruction, in whom standard treatment methods were previously used. Patients age ranged from 2 months to 89 years. Follow-up period was 24 months. In all patients transcanicular endoscopic laser dacryocystorhinostomy connected with temporary lacrimal duct intubation with silicone 0.63 mm tube on the Crawford probe was used. Procedure was performed using diode laser of 910 nm wale length and power of the emitted beam of 15 W of the Optosgroup company. After procedure patency in all patients were achieved. During follow-up period in 307 eyes patency and inflammatory symptoms within lacrimal duct were achieved. In 8 eyes (9 children) with complete lacrimal drainage system aplasia naso-lacrimal duct re-obstruction occurred 1 month after intubation tubes removal. Those children were qualified for another reconstruction. in case of failure reoperation procedures with anastomosis enlargement was performed. In 5 cases, transition to the classic procedure was necessary. Conclusions: It is efficient treatment method of the obstruction possible to perform in any patients age.

Keywords: DCR, transanalicular dacryocystorhinostomy, laser DCR, nasol-larcimal duct obstruction.

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