Lacrimal Duct Obstruction Surgery in Adults

Adults with the obstruction of lacrimal duct experience constant tearing and discharge from the affected eye. The exact cause of this disease is not known, and various causes have been proposed. But importantly, most of these people (over 60%) suffer from other anatomic and inflammatory problems such as deformed nasal septum, nasal polyp, sinusitis, or close proximity of the most anterior air cells of ethmoidal sinus to tear duct, or other problems. Experience has shown that if these problems are not resolved, there will be a greater likelihood of failure of lacrimal duct surgery in which a new path is created for drainage of tear through the nose.

In this surgical technique, an endoscope is used through the nasal passage to first resolve the problems inside the nose, and then a new lacrimal duct is created by no cutaneous incision or any scar remaining.

In other words, lacrimal duct obstruction surgery in adults using Endoscopic DCR is an acceptable technique in the treatment of nasolacrimal obstruction.

In this surgical technique, a direct passage is opened for draining tear from lacrimal sac into nasal cavity, and the obstructed section of the nasolacrimal duct is diverted to the nose. It is worth noting that the acquired obstruction of nasolacrimal duct is a fairly common problem.

  • Acute and chronic inflammation of the lacrimal duct
  • Trauma
  • Congenital obstruction of the lacrimal duct

Symptoms

  • Tearing
  • Swelling of the eyelid
  • Swelling of the lacrimal sac
  • Septic discharge
  • Blurred vision
  • Facial pain
  • Inflammation of the lacrimal sac
  • Recurring conjunctival infection

The success of endoscopic surgery of lacrimal duct obstruction in adults

The success rate of endoscopic lacrimal surgery varies from 70% to 95%, which is the same as the classic DCR technique.

1. ophthalmologic examination of the state of the tear and lacrimal sac

2. Fluorescein test

 

The importance of endoscopic surgery of lacrimal duct obstruction in adults

Endoscopic lacrimal surgery is an outpatient surgical technique for tearing eyes, with a general success rate of more than 90%. This kind of surgery has few risks and complications, and can relieve the patient of the troublesome tearing eyes forever.

 

Post-operative care

The following steps should be taken if the patient suffers nose bleed 24 hours after surgery:

1. Holding the head up at a 30-degree angle.

2. If bleeding is not controlled, or if bleeding continues through the pharynx, the patient should go to a medical center.

3. Avoid blowing nose

4. Medications should be administered as prescribed, especially antibiotic and steroid drops.

5. Refrain from rubbing the eyes or nose

Endoscopic technique for tearing eyes is normally painless or has a mild pain, which can be controlled with acetaminophen and prescription analgesics. However, many surgeons prefer to administer antibiotics after surgery. Bleeding is normally negligible, and only rarely substantial.

What is an endoscopic surgery for treating adult lacrimal obstruction?

What are the symptoms of lacrimal duct obstruction in adults?

Is it safe to undergo an endoscopic surgery for treating adult lacrimal obstruction?

Is endoscopic surgery difficult?

Is it painful to undergo an endoscopic surgery?

What should I do in case of nosebleed after surgery?

 

 

 

 What is an endoscopic surgery for treating adult lacrimal obstruction?

In this surgical procedure, an endoscope is used through the nasal passage to first resolve the problems inside the nose, and then a new lacrimal duct is created by no cutaneous incision or any scar remaining.

 What are the symptoms of lacrimal duct obstruction in adults?

 1. Tearing

2. Swelling of the eyelid

3. Swelling of the lacrimal sac

4. Septic discharge

5. Blurred vision

6. Feeling of pain in the face

7. Inflammation of the lacrimal sac

8. Recurring conjunctival infection

Is it safe to undergo an endoscopic surgery for treating adult lacrimal obstruction?

Yes, this procedure has a success rate of over 90%. •

Is endoscopic surgery difficult?

Despite particular complications of this technique, endoscopic surgery of lacrimal duct obstruction in adults is an outpatient procedure for tearing eyes.

Is it painful to undergo an endoscopic surgery ?

This method is normally painless or has a mild pain, which can be controlled by acetaminophen and prescription analgesics.

What should I do in case of nosebleed after surgery?

Hold your head up at a 30-degree angle. If bleeding does not stop or is through the pharynx, go to the medical center.