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Revision Endoscopic Dacryocystorhinostomy with Triamcinolone Injection under Assisted Local Anaesthetic
Ann Optom Contact Lens 2018;17:60-63
Published online September 25, 2018
© 2018 The Korean Optometry & Contact Lens Study Society

Don Gyung Kim, MD, Tae Soo Lee, MD, PhD

Department of Ophthalmology, Nune eye hospital, Seoul, Korea
Correspondence to: Tae Soo Lee, MD, PhD
Department of Ophthalmology, Nune eye hospital, #404 Seolleung-ro, Gangnam-gu, Seoul, Korea
Tel: 82-2-2086-7750, Fax: 82-2-2086-7710
Received March 8, 2018; Revised July 2, 2018; Accepted July 4, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: To determine the success rate of revision endoscopic dacryocystorhinostomy (DCR) with an injection of intraoperative triamcinolone under local anaesthesia.
Methods: In a prospective, nonrandomized consecutive case series, 32 adult patients (36 eyes) with failed primary endoscopic DCR underwent revision surgery under local anaesthesia. During endoscopic DCR, 0.2 mL of triamcinolone was injected into the lacrimal sac and scar tissue surrounding the surgical osteum. The surgical success rate was then determined based on anatomical patency and resolution of patient symptoms
Results: There were 32 patients (25 female and 7 male) and four had bilateral surgery. Patient ages ranged from 20 to 81 (mean 61). Anatomical patency was achieved in 36 cases (100%) and symptoms had improved in 32 of 36 cases (88.9%). Remaining four failed cases had continued symptoms even anatomical patency.
Conclusions: Revision endoscopic DCR had a high success rate (88.9%) when an injection of triamcinolone was administered intraoperatively.
Keywords : Triamcinolone; Steroids; Lacrimal apparatus DCR; Dacryocystorhinostomy

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