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Retrocaruncular approach to the medial orbit for dacryocystorhinostomy

  • Clinical Investigation
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Abstract

Purpose

The objective of this study was to present a versatile approach to the medial orbit behind the caruncula for dacryocystorhinostomy.

Methods

This study was a retrospective, non-comparative, case series with a description of the surgical technique. We report 11 procedures carried out on 10 patients, who were operated on for DCR using the retrocaruncular approach (RCDCR). Surgical indications and complications were recorded for every patient.

Results

Lacrimal patency was obtained in 82% of the cases. The average follow-up was 2.81  months (1–6.5).

Conclusion

DCR may be safely completed through a retro-caruncular approach. The retrocaruncular approach provides excellent and safe exposure of the posterior aspect of the lacrimal sac, and it avoids the scarring associated with the skin approach.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Dupuytren University Hospital, Avenue Martin Luther King, 87042, Limoges, France

    Jean Paul Adenis & Pierre-Yves Robert

Authors
  1. Jean Paul Adenis
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  2. Pierre-Yves Robert
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Corresponding author

Correspondence to Jean Paul Adenis.

Additional information

This study is from the Department of Ophthalmology, Dupuytren Hospital, Limoges, France. J. P. Adenis has no financial interest in the retrocaruncular dacryocystorhinostomy (RCDCR) technique. All persons included in this study signed a personal written informed consent form before surgery.

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Adenis, J.P., Robert, PY. Retrocaruncular approach to the medial orbit for dacryocystorhinostomy. Graefe's Arch Clin Exp Ophthalmol 241, 725–729 (2003). https://doi.org/10.1007/s00417-003-0720-y

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  • DOI: https://doi.org/10.1007/s00417-003-0720-y

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