Endoscopy of the lacrimal drainage system

Emmerich, K.-H.; Meyer-Rüsenberg, Hans W.; Šimko, Peter

doi:10.1007/s003470050195

Cited by 40 publications

(11 citation statements)

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“…As the obstructions along the lacrimal drainage system can be relieved with lacrimal trephines or knifes and not with a laser, the investment for the material to perform this type of surgery is reasonable. Therefore, one can consider that the surgical procedure described in the present paper represents a breakthrough in the attempt to perform endoscopic lacrimal surgery through the lacrimal punctum [6,7,8,9,10,11,12,13,14,15,16].…”

Section: Discussionmentioning

confidence: 99%

Lacrimal drainage system endoscopic examination and surgery through the lacrimal punctum

Haefliger¹,

Piffaretti²

2001

Klin Monatsbl Augenheilkd

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The approach described here is straight forward, quick, and can be performed under visual endoscopic control and in local anesthesia. With this approach partial stenosis can easily be diagnosed and cured. This procedure might potentially change our current concepts regarding surgical indications for obstructive epiphora and dacryocystitis. However, the long-term results of this type of surgery need to be challenged.

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Section: Discussionmentioning

confidence: 99%

Lacrimal drainage system endoscopic examination and surgery through the lacrimal punctum

Haefliger¹,

Piffaretti²

2001

Klin Monatsbl Augenheilkd

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“…Virtual endoscopy may be improved with the implementation of a faster workstation which is now available. Compared with real endoscopy, the disadvantage remains that we cannot evaluate the coloration and fine details of the mucosal surface within the ductal cavities [5,6,7]. On the other hand, a major advantage of 3DRA is the combined visualization of the lacrimal draining system and adjacent anatomical structures of the nasal cavity.…”

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Rotational Dacryocystography for Imaging of the Lacrimal Draining System and Adjacent Anatomical Structures

et al. 2005

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Purpose: A three-dimensional (3D) rotational angiography system was used to perform 3D dacryocystography (3DRD) as an adjunct to the conventional dacryocystography assisted by digital subtraction angiography (DSA). Methods:In 15 patients with severe epiphora, 3DRD was performed after inconclusive results from DSA-assisted dacryocystography. Results:3DRD was technically feasible and well tolerated in all 15 cases. In 5 out of 15 patients, 3DRD, in contrast to DSA-assisted dacryocystography, distinguished clearly between stenotic lesions of the canaliculi, lacrimal sac or nasolacrimal duct. In 10 cases, the simultaneous display of tear ducts and adjacent structures of the nasal cavity provided critical anatomical information for decision making between endoscopic and open dacryocystorhinostomy. Conclusions: 3DRD is technically feasible and adds important information to conventional DSA-assisted dacryocystography.

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“…Dacryoendoscopic examination of the lacrimal drainage system has evolved over the past decade with the introduction of newer high-definition dacryoendoscopes with better resolution ( Figure 6) [47]. It has paved the way for the better understanding of canalicular pathologies like stenosis, obstructions, granulomas, and thereby facilitating their management [48][49][50][51][52]. Apart from its diagnostic role, it has also been utilized in understanding the physiology of lacrimal system [53].…”

Section: Dacryoendoscopymentioning

confidence: 99%

“…Apart from its diagnostic role, it has also been utilized in understanding the physiology of lacrimal system [53]. Its first use was published in 1997 for the diagnostic evaluation of patients planned for lacrimal intervention [51]. Thereafter, it has been explored in innumerable conditions [45].…”

Section: Dacryoendoscopymentioning

confidence: 99%

The importance of endoscopy in lacrimal surgery

Nair

Singh

Kamal³

et al. 2018

Expert Review of Ophthalmology

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Introduction: The utilization of endoscopy in lacrimal surgeries has been increasing in the recent past with increasing indications. With the advent of newer generation of telescopes, the practice and learning of endoscopic lacrimal surgeries is expected to improve further. Areas covered: This review provides an overview about endoscope assistance in all conditions that involve pathologies of the lacrimal drainage apparatus. The authors have reviewed recently published literature on the techniques and outcomes of endoscopic dacryocystorhinostomy (DCR) in different scenarios such as acute dacryocystitis, pediatric cases, cases with sinonasal anomalies, traumatic nasolacrimal duct obstructions (NLDO) and revision DCRs. Furthermore, promising new avenues such as the 3D endoscopes, variable viewing endoscopes, dacryoendoscopes, navigation-assisted and augmented reality endoscopic lacrimal surgeries have been discussed. Expert commentary: The aim for clinicians should now move on to addressing lacrimal pathologies with traditionally less favorable outcomes and reducing the failure rates with the technological assistance. As more ophthalmology training programs include structured training modules on endoscopic lacrimal surgery, the popularity, the safety and indications of endoscopic lacrimal surgery by ophthalmologists is expected to increase.

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Endoscopy of the lacrimal drainage system

Cited by 40 publications

References 0 publications

Lacrimal drainage system endoscopic examination and surgery through the lacrimal punctum

Lacrimal drainage system endoscopic examination and surgery through the lacrimal punctum

Three-Dimensional Rotational Dacryocystography for Imaging of the Lacrimal Draining System and Adjacent Anatomical Structures

The importance of endoscopy in lacrimal surgery

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