Revising a Failed Dacryocystorhinostomy



The aim of dacryocystorhinostomy (DCR) is to establish a patent fistula between the lacrimal sac and the nasal cavity with removal of intervening bone. The main indications for DCR are clinically significant epiphora and/or infection in the presence of nasolacrimal duct obstruction (NLDO). While most NLDOs are primary and acquired, other causes of NLDO include lacrimal sac tumor and nasal and facial fractures involving the nasolacrimal canal. Associated common canalicular obstructions may also be managed along with the DCR be it external or endoscopic, with trephination and intubation.


Nasal Endoscopy Mucosal Flap Nasolacrimal Duct Obstruction Silicone Intubation Canalicular Obstruction 
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Copyright information

© Springer India 2015

Authors and Affiliations

  1. 1.Department of OphthalmologyChinese University of Hong KongShatin, New TerritoriesHong Kong
  2. 2.Dacryology ServiceL.V. Prasad Eye InstituteBanjara Hills, HyderabadIndia

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