Video Clip 3- Lacrimal Sac marsupialization and Intubation

Next step is lac sac marsupialization and intubation. A close view of the sac shows clear lumen with smooth mucosal lining. Incomplete mucosal partitions can be seen in the lacrimal sac lumen made from the prominent mucosal thickening. The dome of the sac can be visualized. There is no inflammation of mucosa lining the sac lumen and no organized discharge or granulations seen. On irrigation, free flow of dye can be seen and such cases are favourable cases and they do well post-operatively.

Bicanalicular silicone stenting is performed. Irregular margins of the ostium are cleaned by removing the bony chips and mucosal tags. The silicone stent is checked and gel foam is placed. Regular nasal endoscopy is done in post-operative period to look for any synechiae and granulation. Appropriate treatment is instituted in case of any adhesions.