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February 1982

Canaliculodacryocystorhinostomy in the Treatment of Canalicular Obstruction

Author Affiliations

From the Department of Ophthalmology, University of Toronto (Dr Doucet), and Sunnybrook Medical Center, Toronto (Dr Hurwitz). Dr Doucet is now at the University of Texas Health Science Center, Houston.

Arch Ophthalmol. 1982;100(2):306-309. doi:10.1001/archopht.1982.01030030308017

• Epiphora secondary to canalicular obstruction has been a perplexing problem most often treated with Jones' tube bypass surgery, which necessitates a permanent prosthesis and long-term follow-up. There are certain cases in which these problems may be avoided by using an alternative surgical approach. The canaliculodacryocystorhinostomy, a microsurgical technique, reconstructs rather than bypasses the physiological system. We recommend this procedure in all cases of lateral common canalicular obstruction and upper and lower canalicular obstruction with greater than 8 mm of patency.