Endocanalicular Laser Dacryocystorhinostomy and its modifications: A systematic review of techniques and success rates.
Arch Soc Esp Oftalmol (Engl Ed)
; 97(12): 692-704, 2022 Dec.
Article
en En
| MEDLINE
| ID: mdl-35879174
OBJECTIVE: the main objective of this work is to review the articles that refer to transcanalicular diode laser dacryocystorhinostomy (TCL-DCR) in acquired nasolacrimal duct obstruction (NLDO), as well as its modifications. MATERIAL AND METHODS: A systematic review of publications related to TCL-DCR of the lacrimal duct from 2000 to March 2021 was carried out in the MEDLINE, EMBASE and COCHRANE LIBRARY databases. The search terms in Spanish and English were: «Endocanalicular laser¼, dacryocystorhinostomy or «primary DCR-L¼ or «laser¼ and «tear ducts¼. RESULTS: After subjecting the articles to the inclusion and exclusion criteria, we got 49 articles: 21 retrospective and 28 prospective studies. The bibliometric result obtained guaranteed, for this review, a level C recommendation according to the Scottish Intercollegiate Guidelines Network scale. CONCLUSIONS: Currently, the classic TCL-DCR has lower success rates than its modifications, so we suggest using the latter. We prefer TCL-DCR with IS-MMC or TCDL associated with endoscopy techniques, without being able to opt for any option, since their success rates are very similar. We leave the choice to the discretion of the surgeon, depending on the management skills of endonasal techniques. More studies, with longer follow-up, and better defined criteria are necessary to clarify which is the best TCL-DCR technique.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Dacriocistorrinostomía
/
Obstrucción del Conducto Lagrimal
/
Conducto Nasolagrimal
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
/
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Arch Soc Esp Oftalmol (Engl Ed)
Año:
2022
Tipo del documento:
Article
Pais de publicación:
España