Twenty four cases of epiph.ora were elected, and the number was classified
into three sets fitted to the type of stratagem. Group one held dacryocystectomy
(8 cases) complained of recurrent epiphora from original
14 operated cases. Group two contemplated 8 cases of dacrocystoryinostomy.
Group three projected 16 conJunctivorhinostomy (8 cases + 8 cases
of dacryocystectomy). The age picked ranged between 5-36 years. All
cases had passed Jones test preoperative to detect the level of obstruction
and post operative to assess the patency. In dacryocystorinostomy.
and corgunctivorhinostomy routinely the anterior lacrimal crest was
shelved. Cases attained the grafts from the lower saphenous vein (2.5-3
cm). The conjunctiva was incised by the tip of a sharp scissor for 5 mm in
its most medial and lower part One boundary of silastic was passed via
the bony opening to the nose and the other one via the lower part of the
coryvmctiva. The upper edges of the vein were sutured to the conjunctiva.
The patient whatever the procedure was hospitalised for 5 to 7 days.
Postoperative follow up of the patients started after 24 hours with the
first dressing. The silastic was gently skied up and down to remove any
debris. Sutures were removed in the fifth day, while silastic repealed
from the 15th to the 21 th day. Coryunctivorhinostomy had better results
87,5% or 12.5% failure with least interference. |
