Endoscopic Revision DCR

Indications:

• Failed primary DCR
• Recurrent epiphora or dacryocystitis

Highlights:

• Visualization of lacrimal probes indenting lateral nasal wall mucosa verifies position of lacrimal sac.
• All dissection occurs in close proximity to visualized probes.
• Visualization of the internal common punctum at the conclusion of surgery indicates adequate sac opening.
• A Silastic tube is placed to stent opening

Keep in Mind/Things to Remember:

• Revision cases can actually be easier than primary procedures because bone overlying the lacrimal sac has already been removed.
• Success rate lower than primary DCR