International Journal of Contemporary Medicine
  • Year: 2019
  • Volume: 7
  • Issue: 1

Management of Unsuccessful Dacryocystorhinostomy (DCR) with Toti's Procedure and Adjunctive Use of Mitomycin C

1Assistant Professor Nalanda Medical College, Patna

2Vitreo-Retina Consultant Raj Retina Eye Centre, Patna, Bihar

3Director, Awadh Eye Clinic, Bikram Ganj

4Assistant Professor, Community Ophthalmology, Regional Institute of Ophthalmology, IGIMS, Patna

*Corresponding author: Dr Abhishek Anand: Vitreo-Retina Consultant Raj Retina Eye Centre, Patna, Bihar, e-mail- eyehospitalpatna@gmail.com, Mob: 8340358048, Flat no. 204, Ganga-4, Jalalpur City, Ram Jaypal Nagar, Patna-801503

Online published on 4 February, 2019.

Abstract

Prospective study to assess the success rate of repeat DCR surgery done with Mitomycin C (MMC) syringing on first postoperative day.

43 patients qualifying inclusion criteria for repeat DCR were included.  On first postoperative day sac syringing with 1 ml of 0.2mg/ml MMC was done in newly formed passage and near bone osteum. These patients were followed up for one year.

41 patients were symptom free and patent on syringing out of 42 patients at end of follow up period of 12 month.

Result suggests that our modified technique had high success rate and reliability.

Keywords

Failed DCR, Totis Procedure, Mitomycin C