Muhammad Ijaz Anjum, Aqil-ur Rehman Nadeem.
External Dacryocystorhinostomy (DCR) without Intubation.
Ophthalmol Update Jan ;14(1):10-2.

Purpose: To assess the outcome of cost effective dacryocystorhinostomy without intubation. Objectives: The purpose of this study was to assess the outcome of conventional dacryocystorhinostomy without intubation while probing and syringing being the only pre-operating investigation. Materials & Methods: This prospective study was carried out at Ali Trust Eye Hospital, spanned over 2.5 years. Detailed history was taken and performa filled for each patient. Patients with trauma and canalicular obstruction were excluded from study. Regurgitation test and probing and syringing were done to assess level of block. External dacryocystorhinostomy without intubation was done in all cases. Results: 53 patient, of which 8 (15%) males and 45 (85%) females were included in study. Patients were 16 to 75 years of age. All patients had positive regurgitation test and underwent probing and syringing ahead of DCR. No significant intra operative complication was encountered except an excessive bleeding in a few patients. Two (4%) patients developed recurrence of epiphora so the success rate was 96%. Conclusion: Dacryocystorhinostomy without intubation is very successful in non-complicated cases.

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