SHEHLA DARESHANI . TARIQUE SALEEM . MUHAMMAD MUNEER QURAISHY . WAHEED AHMED SHAIKH

ABSTRACT | Full Text Pdf

Objective: To determine the efficacy of external DCR, suturing of anterior flaps with excision of posterior flaps and intubation.

Design: Quasi Experimental.

Materials and Methods: This study was conducted at Department of Ophthalmology Unit-1 Dow University of Health Sciences, Civil Hospital Karachi and a private clinic. 110 patients of chronic dacryocystitis with nasolacrimal duct block (NLD) were operated over a period of 31/2 years from Feb 2009 to June 2012. All patients were operated under general anesthesia by a single surgeon. Only the anterior mucosal flap of lacrimal sac and nasal mucosa were sutured together with excision of posterior flaps and silicone intubation was done. Tube was removed after a period of 3 months. Patients were followed postoperatively every month for a period of 6 month.

Results: A success rate of 95.45% was achieved with symptomatic relief of epiphora.

Conclusion: External DCR with suturing of anterior flaps with excision of posterior flaps and intubation is a highly successful procedure with 95.45% success rate and is relatively an easy procedure as compared to suturing of both anterior and posterior flaps.