External vs. endonasal dacryocystorhinostomy: six of one, a half dozen of the other?

Current Opinion in Ophthalmology
Knut Eichhorn, Andrew R Harrison

Abstract

The purpose of this review is to describe the results from published clinical studies evaluating the efficacy of two types of dacryocystorhinostomy, namely external and endonasal. Many studies report high success rates with either procedure in alleviating the consequences of nasolacrimal duct obstruction. However, only a few studies have compared the two approaches in a prospective, randomized fashion. Both types of procedure achieve excellent outcomes, and there is no definitive evidence from published, large-scale studies that one approach is superior to the other.

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