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Endoscopic Canaliculoplasty
1Ungerechts R., 1Mörchen M., 2Meyer-Rüsenberg H.-W., 1Emmerich K.-H.,
1Städtische Kliniken Darmstadt, Augenklinik (Darmstadt)
2Kath. Krankenhaus Hagen gem. GmbH, St.-Josefs-Hospital, Augenklinik (Hagen)
Purpose: To evaluate the success rate /results of endoscopic treatment and laserdacryoplasty of canaliculus stenosis using the erbium YAG-laser.
Methods: Between June 2000 and December 2001 29 patients (at the average age of 54 years) were treated suffering from symptomatic canaliculus stenosis. The patients reported epiphora for 56 months. Two patients had an isolated stenosis of either the upper or lower punctum, in the other cases both canaliculi were afflicted. During operation the first step after the diagnostical endoscopy was the performance of a recanalisation with the erbium YAG laser. Further endoscopy of the following parts of the lacrimal passage lead into placing a silicone tube as a second step.
Results: 17 of 29 patients were examined after an average of 87 days. 14 of the 17 (82%) patients reported an improvement of epiphora and the lacrimal passage was possible.
Conclusions: The laser canaliculoplasty is a minimal invasive method for recanalisation of absolute canaliculus stenosis.