Background: Transcanalicular laser dacryocystorhinostomy (TCL- DCR) is a recent & minimally invasive procedure used to bypass the nasolacrimal duct.
Objective: The objective is to analyze the short term success rate, complications and causes of failure of this procedure of this case series study of 68 consecutive transcanalicular laser dacryocystorhinostomy procedures of 66 patients complaining of epiphora& recurrent or chronic dacryocystitis due to nasolacrimal duct obstruction in our centre (AL Mosul Teaching Centre).
Patients and Methods: Sixty six patients with complete obstruction of NLD with age range (5-55) years were included in the study, underwent transcanalicular laser dacryocystorhinostomy in the period from October 2012-April 2013 at AL Mosul Teaching Centre. The procedure was performed under general anesthesia osteotomy was performed by transcanalicular diode laser and insertion a temporary stents, patients were followed up for 3-4 months to assess the outcome of the procedure.
Results: Epiphora was ceased and a patent NLD on irrigation in 55 out of 68 treated eyes this yields success rate of 81 % at an average follow up time 3-4 months, results was (1) Swelling of the ipsilateral lower eyelid in 38 cases, (2) Postoperative adhesions developed in 11 patients and (3) Bruising in 8 cases.
Conclusion: TCL-DCR is a recent modality to the developments in the field of lacrimal surgery at AL-Mosul Teaching Centre: it is minimally invasive and quick procedure yielding result comparable to classic DCR and better than other endoscopic DCR procedure.