Laser Transcanalicular Dacryocystorhinostomy Comparative Study between ENT and Ophthalmology Group

Volume 3 - Issue 4

Pedro Clarós¹*, Cristina María Blebea^1,2, Marta López-Fortuny³, Gorka Martinez-Grau³ and Andrés Clarós¹

Received: October 30, 2019   Published: November 19, 2019

DOI: 10.32474/SCSOAJ.2019.03.000170

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Abstract

Background: Obstruction of the nasolacrimal system is a pathology that involves an ophthalmologist and also an otorhinolaryngologist. Epiphora, or watery eye, represents an overflow of tears onto the face and it can produce a great impact on the quality of life of the patient.

Aims/Objectives: The purpose was to analyse the results of transcanalicular diode laser-assisted dacryocystorhinostomy of patients treated in Barraquer Ophthalmology Center Oculoplasty Department, and in Clarós Clinic ENT Department, Barcelona, Spain, and to determine whether there is an association between the surgeon’s speciality and the outcome of the intervention.

Materials and Methods: A comparative, retrospective, non-randomized, non-interventional case review of 409 patients with nasolacrimal duct obstruction treated in these two clinics between 2004 and 2016.

Results: Female patients were most affected by this pathology and the main cause of it was the idiopathic stenosis of the nasolacrimal duct. The functional success rates were similar between the two groups, and the overall success of the intervention at 6 months follow-up presented no statistically significant difference. Also, having no surgical antecedents was statistically significant associated with a better outcome on the 6 months control (x2; p > 0,035).

Conclusion and Significance: Implementation of diode laser-assisted dacryocystorhinostomy for nasolacrimal duct obstruction can be a reliable method, with good aesthetic results, shorter time of procedure, and good functional outcome. A combined surgical team would be beneficial for a faster recognition of anatomical elements, management of the complications and to improve surgical time.

Keywords: Dacryocystorhinostomy; transcanalicular; epiphora; diode; laser; ent; ophthalmology

Abstract| Introduction| Materials and Methods| Results| Discussion| Conclusion| Disclosure of Interest| References|