Study of External Dacryocystorhinostomy in Paediatric Congenital Dacrocystitis

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S. V. M. D. A. Kamble Nikhil R, “Study of External Dacryocystorhinostomy in Paediatric Congenital Dacrocystitis”, ijmhs, vol. 6, no. 3, May 2016.
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Abstract

Chronic congenital nasolacrimal duct obstruction is common issue; & management of delayed chronic dacryocystitis is important problem especially in rural or tribal areas of India. Aim was to share our experience of external dacryocystorhinostomy (DCR) in paediatric chronic dacryocystitis. This retrospective study comprised a review of 57 eyes in 55 patients in the age group four to sixteen years. All underwent external dacryocystorhinostomy (in the period between 2000-2014) using single ‘U’ shaped anterior flap with minimum one yr of follow up. Study involved 24 male & 31female children; including two bilateral female cases, in 30 cases Rt. side was involved & in 27 Lt. side involved. Some cases had underwent probing in past (once/twice) but failed to relieve block were also included. Success was defined as absence of epiphora & discharge and in cooperative older children – patency after sac syringing .Results: Out of 57 eyes operated 54 cured with 94.73% success, only 3cases failed   with minimum 1 yr of follow up. Conclusion: external dacryocystorhinostomy in chronic congenital dacryocystitis is safe & effective; and strongly recommended in chronic neglected cases

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