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Distal Nasolacrimal Duct Obstruction

Running Time: 1:25

Indications:

Epiphora
Dacryocystitis

Highlights:

Inferior turbinate can be gently medialized to allow entry into inferior meatus
Nasolacrimal duct drains into inferior meatus via Hasner’s valve

Keep in Mind:

Short-term stenting of duct may be warranted until healing occurs
If region of stenosis is not accessible at inferior meatus then a standard DCR may be done

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