K 396
Long term results after mikrodrill-dacryoplastic
R. Ungerechts1, M. Lüchtenberg2, H.-W. Meyer-Rüsenberg3, K.-H. Emmerich1
New diagnostic and therapeutic possibilities have been made possible by establishment of endoscopic examination methods in the treatment of the lacrimal drainage system. The assessment of the mucous membrane situation can be checked intraoperatively. In addition to the treatment of lacrimal stenosis by laser surgery, there is the possibility of mechanical rechannelisation with a drill system.
Patients: Since April 1998 in the eye clinics concerned a microdrill dacryoplastic was performed on 44 patients. With a minimum of 1 year follow up period, 23 patients could be examined; of these 18 (78 %) are without any complaints.
Results: A succesfull rechanalisation under endoscopic control was possible in all cases. There were no complications. The long term results one year after the microdrill have been checked andshow a success rate of 78 %. Microdrill dacryoplastic is another successful instrument in the minimal invasive surgery of the lacrimal drainage system.
Eye clinic, Klinikum Darmstadt, Heidelberger Landstr. 379, D-64297 Darmstadt
Eye clinic, Johann Wolfgang Goethe University Frankfurt, Theodor Stern Kai 7, D-60596 Frankfurt
Eye clinic, St. Josef-Hospital, Dreieckstr. 17, D-58093 Hagen