DR. RAJ VADOR

DR. SHREYA SHAH, DR.MEHUL SHAH, DR. SANJRI MALHOTRA

Abstract

INTRODUCTION:TRANSCANALICULAR LASER DCR IS AN ENDOSCOPE AND LASER FIBER INSERTED INTO LUMEN OF CANALICULUS AND USED TO BYPASS OBSTRUCTION ACROSS LACRIMAL SAC WALL AND NOT TO REMOVE AN OBSTRUCTION INSIDE LACRIMAL SYSTEM.METHODS:THIS IS A RETROSPECTIVE COHORT STUDY BETWEEN JAN08 TO AUG22.FORMAT CREATION, RETRIEVAL OF DATA FROM EMR AND ANALYSIS BY SPS22.DESCRIPTION AND CROSS TABULATION USED FOR ANALYSIS. RESULTS:OUR COHORT CONSIST OF 644 CASES WITH MEAN AGE OF 50.714. 163 CASES FROM AGE GROUP 51-60.OUT OF 644,629 OF ADULT AGE GROUP.490 ARE FEMALES,154 ARE MALES.411 CASES NEEDED SURGERY ONCE,142 NEEDED REPEAT SURGERIES AFTER PRIMARY SURGERY.ON 6 MONTH 77.3% AND ON 1 YEAR FOLLOW UP 75.6% CASES ARE SYMPTOMLESS.0.2% PATIENTS WERE ROPLAS +VE ON 1 MONTH,0.2% PATIENTS PRESENTED WITH CC BLOCK ON 3 MONTH FOLLOW UP.ON 1 YEAR FOLLOW UP,1.2% CASES PRESENTED WITH CONSTANT WATERING AND EPIPHORA.CONCLUSION:TCL-DCR IS MINIMALLY INVASIVE, REPEATABLE AND SAFE ALTERNATIVE TO TREAT NASOLACRIMAL OBSTRUCTION.