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Dacryocystorhinostomy

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Abstract

Dacryocystorhinostomy (DCR) is a drainage procedure that bypasses the site of obstruction in the nasolacrimal duct system. The procedure is performed in adults and children who have chronic epiphora and dacryocystitis secondary to partial or complete nasolacrimal duct obstruction. DCR with Jones tube is performed after a failed DCR and subsequent revisions, common canalicular obstruction, or stenosis. The goal is to directly bypass the canaliculus and lacrimal system.

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Suggested Readings

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Author information

Authors and Affiliations

  1. Case Western Reserve University School of Medicine, Cleveland, OH, USA

    Mark R. Levine

  2. Department of Ophthalmology, University Hospitals of Cleveland, Cleveland, OH, USA

    Mark R. Levine

  3. Cleveland Clinic Foundation, Cleveland, OH, USA

    Mark R. Levine

  4. Kaestner Aesthetic Eye Center, Encinitas, CA, USA

    C. Blake Perry

  5. Oregon Health and Science University, Casey Eye Institute, Portland, OR, USA

    Eric A. Steele

  6. Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea

    Yoon-Duck Kim

Authors
  1. Mark R. Levine
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  2. C. Blake Perry
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  3. Eric A. Steele
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  4. Yoon-Duck Kim
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Corresponding author

Correspondence to Mark R. Levine .

Editor information

Editors and Affiliations

  1. Case Western Reserve University School of Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA

    Mark R. Levine

  2. Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA

    Richard C. Allen

Electronic Supplementary Material

Video 9.1

Application of local anesthesia for dacryocystorhinostomy. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/4/8-DCR-anaesthesia.htm (MP4 72243 kb)

Video 9.2

External dacryocystorhinostomy. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/External-DCR.htm (MP4 263826 kb)

Video 9.3

External dacryocystorhinostomy. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/6/3-External-DCR.htm (MP4 295167 kb)

Video 9.4

Jones tube placement. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/7/13-Jones-tube-1.htm (MP4 139111 kb)

Video 9.5

Jones tube placement. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/7/14-Jones-tube-2.htm (MP4 113335 kb)

Video 9.6

Jones tube placement. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/7/15-Jones-tube-3.htm (MP4 68534 kb)

Video 9.7

Jones tube placement (“crescent twist”). Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/7/16-Jones-tube-4-crescent-twist.htm (MP4 57689 kb)

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Levine, M.R., Blake Perry, C., Steele, E.A., Kim, YD. (2018). Dacryocystorhinostomy. In: Levine, M., Allen, R. (eds) Manual of Oculoplastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-74512-1_9

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  • DOI: https://doi.org/10.1007/978-3-319-74512-1_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74511-4

  • Online ISBN: 978-3-319-74512-1

  • eBook Packages: MedicineMedicine (R0)

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