DR. GYAN BHASKAR

DR. ANJULA KUMARI

Abstract

The aim of this study was to compare the surgical outcome in flapless dacryocystorhinostomy(DCR) with Circumosteal – Mitomycin C Versus conventional external DCR, This is a retrospective non-randomized study of surgical outcomes in patients with primary acquired nasolacrimal duct obstruction who underwent a flapless DCR with Circumosteal – Mitomycin C (group A) VS conventional external DCR(group B) in a tertiary eye care center. Success was defined as patent syringing and the absence of symptoms. There was complete resolution of epiphora with patent syringing in 43 out of 52 patients in group A, in group B, 47 out of 55 patients had complete resolution of epiphora. Mean surgical time was significantly lower in Group A than in Group B. Scarring and closure of the ostium was the most common cause of failure in both groups. flapless DCR with Circumosteal -Mitomycin C is a viable alternative to conventional external DCR with a comparable success rate and shorter surgical time.