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

Abstract

Aim: Prospective study to assess the success rate of repeat DCR surgery done with Mitomycin C (MMC) syringing on first postoperative day.
Method: 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.
Results: 41 patients were symptom free and patent on syringing out of 42 patients at end of follow up period of 12 month.
Conclusion: Result suggests that our modified technique had high success rate and reliability.