Ratandeep Kumar Agrawalla

Abstract

Cornea undergoes repeated injury by external atmosphere and frequent blinking of lids. Thus proper healing atmosphere is of utmost importance. BCL provides protection, promotes healing by migration of epithelial basement membrane cells. It also minimises the irritation of corneal nerve endings thus minimises pain. It also helps in providing a tectonic support to the outer coat of eye ball in case of impending perforating ulcers, acts as a barrier between tarsal conjunctiva and suture knots. Role of BCL after refractive surgery is very important as it promotes epithelisation and helps in preventing irritation and rubbing. However BCL should be carefully used in dry eye disease and frequent follow up is mandatory to detect early signs of microbial keratitis, and signs of corneal hypoxia. Keywords: Bandage contact lens (BCL), Corneal abrasions, Persistent epithelial defect, Bullous keratopathy.

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Abstract

Dacryocystitis is a common manifestation in ophthalmology practice. external DCR is the definitive gold standard management. however many modifications in external DCR are proposed now a days, out of which dcr using intracystic implant is one. This study aiims at comparing the surgical outcome of external conventional DCR with that of DCR using intracystic implant. After a follow up period of 6 months it was observed that the success rate in connventional DCR is significantly better(97%) than DCR using intracystic implant(85%). However intraoperative blood loss and surgical time is significantly less in DCR using intracystic implant than the conventional external DCR. Keywords: Dacryocystorhinostomy, Intracystic Implant, Syringing, Nldo –Nasolacrimal Duct Obstruction.

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