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104. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft 2006
Abstract
Abstract
SA.16.11 Endoscopic Lacrimal Surgery Emmerich K.-H.1, Meyer-Rüsenberg, H.-W.2
1Direktor der Augenklinik, Klinikum Darmstadt, 2Direktor der Augenklinik, St. Josefs-Hospital, Universität Witten/Herdecke, Hagen With the development of miniaturisation of instruments endoscopic techniques got more and more important in ophthalmology. In this abstract endonasal operation techniques and endocnanalicular endoscopic techniques will be presented. The significance of an endoscopic diagnostics will be shown.
Developments in the ongoing development in endonasal surgery made it possible that the success rate in internal endonasal Dacryocystorhinostomy is similar to those of an external DCR.
With the possibilities of endocanalicular endoscopy of the lacrimal duct and the options in surgery which result from that even more options opened up. These minimised the surgical effort and the postoperative rehabilitation. Judging the actual situation of the mucosa endoscopically regarding the position and degree of the stenoses there are different possibilities in rechanneling. With stenoses of the canaliculus or the lacrimal sac thereÂ’s the possibility of using the Erbium-YAG-Lasercaryoplasty. With subtotal stenoses which show clinically as total stenoses the rechanneling with a miniaturised drill is indicated, a Microdrilldacryoplasty. Both methods have a success rate of 78-80%.
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