DR. JEMINI SHRIGOVIND PANDYA

, Dr. SHREYA SHAH, Dr.MEHUL SHAH, DR. RAJ VADOR

Abstract

AIM: TO DEMONSTRATE METHOD OF MODIFIED INTRACYSTIC SILICON IMPLANTATION IN LACRIMAL SURGERY UNDER ENDOSCOPIC CONTROL

METHODS: AFTER ALL STERILE PREPARATION, LOCAL ANAESTHESIA IS GIVEN TO THE PATIENT. DILATATION AND PROBING IS PERFORMED. THEN USING A 22G CUSTOMISED CANNULA, ENTRY IS MADE INTO MIDDLE MEATEUS BY BYPASSING THE HARD STOP. CONFIRMATION IS DONE BY NASAL ENDOSCOPE. FURTHER A SILICON IMPLANT IS INTRODUCED IN THE OPENING AND ITS POSITION CONFIRMED BY NASAL ENDOSCOPE. THIS IS CANNULA DACRYOCYSTORHINOSTOMY WITH SILICON IMPLANT.

RESULTS: THE PROCEDURES ARE LESS TIME CONSUMING, ALMOST BLOODLESS AND REQUIRE NO OR FEW SUTURES.CONFIRMATION BY ENDOSCOPY AFFIRMS POSITIVE RESULTS.POST OPERATIVE RESULTS ARE COMPARABLE TO CONVENTIONAL DACRYOCYSTORHINOSTOMY.

CONCLUSIONS: CANNULA DACRYOCYSTORHINOSTOMY WITH IMPLANT ARE PROCEDURES THAT AFFORD GOOD OUTCOMES WITH LESS DISCOMFORT.ENDOSCOPIC CONTROL PREVENTS TRANSCYSTIC AND EXTRACYSTIC POSITIONING OF IMPLANT THUS INCREASING THE SUCCESS RATE.