Endoscopic Revision DCR

Survey

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