Journal article

Management of Functional Epiphora in Patients With an Anatomically Patent Dacryocystorhinostomy

Pari N Shams, Philip G Chen, Peter J Wormald, Brian Sloan, Geoff Wilcsek, Alan McNab, Dinesh Selva

JAMA OPHTHALMOLOGY | AMER MEDICAL ASSOC | Published : 2014

Abstract

IMPORTANCE: Approximately 5% to 10% of patients continue to experience persistent epiphora following an anatomically successful dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction or stenosis. OBJECTIVE: To investigate the management and success rate of so-called "functional failure" of DCR for nasolacrimal duct obstruction by experienced lacrimal surgeons. DESIGN, SETTING, AND PARTICIPANTS: Multicenter retrospective case series including 5 Australian and New Zealand centers. Participants included 61 patients (71% women [n = 46]; mean age, 66 years) with functional epiphora after 65 DCRs (69% transnasal) who were recruited over a mean of 7.6 years. Inclusion criteria included confi..

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