Diplopia Following External Dacryocystorhinostomy with Intracystic Pawar Implant Implantation: The Tale of an Unheard Complication

Dacryocystorhinostomy (DCR) with Pawar intracystic implant placement is a simple and faster surgical option for treating epiphora. Its advantages being small length of incision(5-6mm), minimal intraoperative and postoperative bleeding, and sparing of the medial palpebral ligament with no need of cre...

Full description

Saved in:
Bibliographic Details
Main Authors: Deepsekhar Das, Mandeep Singh Bajaj, Swechya Neupane, Sahil Agrawal, Saloni Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-07-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.7869/djo.692
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849314249889808384
author Deepsekhar Das
Mandeep Singh Bajaj
Swechya Neupane
Sahil Agrawal
Saloni Gupta
author_facet Deepsekhar Das
Mandeep Singh Bajaj
Swechya Neupane
Sahil Agrawal
Saloni Gupta
author_sort Deepsekhar Das
collection DOAJ
description Dacryocystorhinostomy (DCR) with Pawar intracystic implant placement is a simple and faster surgical option for treating epiphora. Its advantages being small length of incision(5-6mm), minimal intraoperative and postoperative bleeding, and sparing of the medial palpebral ligament with no need of creating sac and nasal mucosal flaps anastomosis. The presence of holes at upper and lower end act as extra drainage channel. This makes it superior to conventional DCR with better success rate. Herein, we report a rare complication of diplopia following implantation of Pawar’s implant. We believe in the following chain of events with anterior displacement of implant, local inflammation was evoked, resulting in subsequent scarring and medial rectus fibrosis.
format Article
id doaj-art-4d287d5ec5da4b3ca35bee4874e40f65
institution Kabale University
issn 0972-0200
2454-2784
language English
publishDate 2021-07-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Delhi Journal of Ophthalmology
spelling doaj-art-4d287d5ec5da4b3ca35bee4874e40f652025-08-20T03:52:31ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842021-07-01321656710.7869/djo.692Diplopia Following External Dacryocystorhinostomy with Intracystic Pawar Implant Implantation: The Tale of an Unheard ComplicationDeepsekhar DasMandeep Singh BajajSwechya NeupaneSahil AgrawalSaloni GuptaDacryocystorhinostomy (DCR) with Pawar intracystic implant placement is a simple and faster surgical option for treating epiphora. Its advantages being small length of incision(5-6mm), minimal intraoperative and postoperative bleeding, and sparing of the medial palpebral ligament with no need of creating sac and nasal mucosal flaps anastomosis. The presence of holes at upper and lower end act as extra drainage channel. This makes it superior to conventional DCR with better success rate. Herein, we report a rare complication of diplopia following implantation of Pawar’s implant. We believe in the following chain of events with anterior displacement of implant, local inflammation was evoked, resulting in subsequent scarring and medial rectus fibrosis.https://journals.lww.com/10.7869/djo.692pawar implantdiplopiadcrdcr-complications
spellingShingle Deepsekhar Das
Mandeep Singh Bajaj
Swechya Neupane
Sahil Agrawal
Saloni Gupta
Diplopia Following External Dacryocystorhinostomy with Intracystic Pawar Implant Implantation: The Tale of an Unheard Complication
Delhi Journal of Ophthalmology
pawar implant
diplopia
dcr
dcr-complications
title Diplopia Following External Dacryocystorhinostomy with Intracystic Pawar Implant Implantation: The Tale of an Unheard Complication
title_full Diplopia Following External Dacryocystorhinostomy with Intracystic Pawar Implant Implantation: The Tale of an Unheard Complication
title_fullStr Diplopia Following External Dacryocystorhinostomy with Intracystic Pawar Implant Implantation: The Tale of an Unheard Complication
title_full_unstemmed Diplopia Following External Dacryocystorhinostomy with Intracystic Pawar Implant Implantation: The Tale of an Unheard Complication
title_short Diplopia Following External Dacryocystorhinostomy with Intracystic Pawar Implant Implantation: The Tale of an Unheard Complication
title_sort diplopia following external dacryocystorhinostomy with intracystic pawar implant implantation the tale of an unheard complication
topic pawar implant
diplopia
dcr
dcr-complications
url https://journals.lww.com/10.7869/djo.692
work_keys_str_mv AT deepsekhardas diplopiafollowingexternaldacryocystorhinostomywithintracysticpawarimplantimplantationthetaleofanunheardcomplication
AT mandeepsinghbajaj diplopiafollowingexternaldacryocystorhinostomywithintracysticpawarimplantimplantationthetaleofanunheardcomplication
AT swechyaneupane diplopiafollowingexternaldacryocystorhinostomywithintracysticpawarimplantimplantationthetaleofanunheardcomplication
AT sahilagrawal diplopiafollowingexternaldacryocystorhinostomywithintracysticpawarimplantimplantationthetaleofanunheardcomplication
AT salonigupta diplopiafollowingexternaldacryocystorhinostomywithintracysticpawarimplantimplantationthetaleofanunheardcomplication