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Year: 2001  Vol. 5   Num. 3  - Julyy/Sept Print:
Original Article
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Complications of Dacryocystorhinostomies
Complicações de Dacriocistorrinostomias
José Antônio Patrocínio, Renzo Humberto Sansoni, Fernanda Inez Gomes Garrote, Pérsio Matos Amaral, Lucas Gomes Patrocínio, Ismael Fernando de Oliveira Dias, Alexandre Soares Fogaça de Aguiar
Key words:
Dacryocystorhinostomy; Lacrimal Surgery; Complications

Introduction: Dacryocystorhinostomy (DCR) is indicated in nasolacrimal obstructions. It creates a new pathway for tears drainage to the nasal cavity and can be performed by external or endonasal approach. Objective: To retrospectively evaluate complications of DCR perfomed in our institution. Material and method: We reviewed medicai records of 496 patients (556 eyes) who underwent surgery between January 1986 and April 2001. Among these, 550 were by external approach and 6 by endonasal approach. The rate of complications was 10% (all in external approach), including 6 cases of bleeding (1%), 5 necrosis in the incision (1%), 5 orbital hematomas (1%), 27 improper position of the stent (5%), and 28 nasal synechias (5%). There was epiphora recurrence in 55 cases (10%), all of external approach. Conclusion: The DCR is a procedure with low rate of complications and of great efficacy for correction of chronic nasolacrimal pathways obstruction.



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