IP International Journal of Ocular Oncology and Oculoplasty
Surgical classical DCR with external approach is considered as mainstay treatment with higher suc... more Surgical classical DCR with external approach is considered as mainstay treatment with higher success rates for nasolacrimal duct obstructions. But In certain conditions, Transcanalicular endonasal laser DCR is proven more advantageous than classical DCR due to less complications like bleeding and low morbidity with acceptable success rate. The purpose of this study is to study the success rate and complications of Transcanalicular laser-assisted endoscopic dacryocystorhinostomy. We present our experience of transcanalicular enonasal laser DCR done in 50 patients with 6 month follow-up period. Diode laser was used to create ostium in all cases. Success rate of surgery is defined by patent sac syringing at each follow-up visit in most cases. Complications observed like bleeding, lid edema and pain are minor and easily manageable. At the end of our study, the final success rate is around 60% which is acceptable and comparable to other studies. Transcanalicular laser-assisted DCR, is a newer approach for nasolacrimal duct obstruction with good success rate and minimal complications with Shorter surgical time, faster recovery and better cosmesis than external classical DCR.
A 50-year-old male presented with a non-tender mass on the left eye upper lid that gradually incr... more A 50-year-old male presented with a non-tender mass on the left eye upper lid that gradually increased in six months. There was no history of trauma, other tumor or surgery. With clinical diagnosis of giant chalazion incision drainage and curettage was performed. Tumor recurred at the same place after 3 months. Meibomian gland carcinoma was suspected, excised in Toto and lid was reconstructed. Histopathology of biopsy material revealed adenocarcinoma of Meibomian gland. This rare presentation of adnexal malignancy could be missed and therefore author recommend biopsy of all lid lesion when operated.
IP International Journal of Ocular Oncology and Oculoplasty
Surgical classical DCR with external approach is considered as mainstay treatment with higher suc... more Surgical classical DCR with external approach is considered as mainstay treatment with higher success rates for nasolacrimal duct obstructions. But In certain conditions, Transcanalicular endonasal laser DCR is proven more advantageous than classical DCR due to less complications like bleeding and low morbidity with acceptable success rate. The purpose of this study is to study the success rate and complications of Transcanalicular laser-assisted endoscopic dacryocystorhinostomy. We present our experience of transcanalicular enonasal laser DCR done in 50 patients with 6 month follow-up period. Diode laser was used to create ostium in all cases. Success rate of surgery is defined by patent sac syringing at each follow-up visit in most cases. Complications observed like bleeding, lid edema and pain are minor and easily manageable. At the end of our study, the final success rate is around 60% which is acceptable and comparable to other studies. Transcanalicular laser-assisted DCR, is a newer approach for nasolacrimal duct obstruction with good success rate and minimal complications with Shorter surgical time, faster recovery and better cosmesis than external classical DCR.
A 50-year-old male presented with a non-tender mass on the left eye upper lid that gradually incr... more A 50-year-old male presented with a non-tender mass on the left eye upper lid that gradually increased in six months. There was no history of trauma, other tumor or surgery. With clinical diagnosis of giant chalazion incision drainage and curettage was performed. Tumor recurred at the same place after 3 months. Meibomian gland carcinoma was suspected, excised in Toto and lid was reconstructed. Histopathology of biopsy material revealed adenocarcinoma of Meibomian gland. This rare presentation of adnexal malignancy could be missed and therefore author recommend biopsy of all lid lesion when operated.
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Papers by Nitin Trivedi