Analysis and efficacy of dacryocystorhinostomy performed with nasal endoscope and its advantage over external dacryocystorhinostomy

Objective: to analyse the results of dacryocystorhinostomy performed with nasal endoscope by performing the follow up for one year and detecting its advantages over the conventional methods. study design: hospital based prospective interventional study. subjects & methodology: this study was conducted at eye and ent departments of sargodha medical college sargodha and sheikh zayed hospital lahore between january 2008 to july 2010. 30 patients were collected with complaints of epiphora and underwent dacryocystorhinostomy with nasal endoscope. the study group comprised of 30 patients who were referred by ophthalmologist. 28 of them were females,age ranging from 12 to 60 years. these patients were not ready to give consent for external scar. there presentation was with complaints of epiphora,sac swelling and pain around medial canthus. these patients underwent endoscopic dacryocystorhinostomy and tried to preserve the mucosal flap. conclusion of endoscopic dacryocystorhinostomy procedure is that it is safe and having less complications. it is highly indicated in young females. results: these 30 patients remained in one year follow up and success rate was seen about 76% conclusion: endoscopic dacryocystorhinostomy is good choice to avoid external facial scars in females. other nasal pathologies are addressed simultaneously.