Table 59.1 Indications for surgery Symptomatic epiphora secondary to canalicular obstruction or canalicular atresia Intractable epiphora in the setting of failed prior lacrimal bypass procedures Intractable epiphora in the setting…

Introduction In this chapter, endoscopic dacryocystorhinostomy (DCR) with the use of an osteotome is presented. For indications and preoperative evaluation, refer to Chapter 53 . The osteotome is a useful…

Table 57.1 Indications for surgery Symptomatic epiphora from nasolacrimal duct obstruction Primary dacryocystorhinostomy (DCR) failure   Table 57.2 Preoperative evaluation Endonasal examination to identify cause of DCR failure: • Scarring…

Table 58.1 Indications for surgery Symptomatic epiphora with failed prior dacryocystorhinostomy Common canalicular obstruction   Table 58.2 Preoperative evaluation Elicit prior surgical history; method of prior DCR – endonasal or…

Table 60.1 Indications for surgery Functional nasolacrimal duct obstruction Partial nasolacrimal duct obstruction Congenital nasolacrimal duct obstruction (after failed probing) After removal of lesion overlying punctum For reconstruction of the…

Table 56.1 Indications for surgery Symptomatic epiphora secondary to failed dacryocystorhinostomy History of acute dacryocystitis Excessive mucoid discharge secondary to chronic dacryocystitis Sump syndrome after DCR surgery   Table 56.2…

Table 43.1 Indications for surgery Reconstruction of large (>80%) full thickness defects of the upper eyelid   Table 43.2 Preoperative evaluation Size and dimensions of upper eyelid defect Involvement of…

Table 53.1 Indications for surgery Acquired nasolacrimal duct obstruction (NLDO) associated with: • Epiphora • Mucocele • Dacryocystitis (acute or chronic) Congenital NLDO failed probing and silicone stent placement Functional…

Introduction In this chapter, endoscopic dacryocystorhinostomy (DCR) is performed using an up-biting and down-biting 4 mm Kerrison ronguer for the bony osteotomy. The medial portion of the lacrimal sac is also…

Table 49.1 Indications for treatment Lateral canthal lines (“crow’s feet”) with smiling; lines are mostly or entirely gone in repose Inferior pretarsal orbicularis bunching (“jelly roll”) and narrowing of the…