Endonasal CO2-Nd:YAG laser dacryocystorhinostomy.

A preliminary series of endonasal dacryocystorhinostomy was carried out on 12 patients with nasolacrimal obstruction using a recently developed combined CO2-Nd:YAG laser that was guided by a fiberoptic light pipe inserted into the lacrimal sac through lacrimal canaliculi. The lacrimal passages were stented using silicone tubing that was kept in place for 6 months postoperatively. At an average follow-up time of 14.3 months the success rate was 83%. The advantages of the operation include a relatively short operation time, quick rehabilitation, absence of a skin wound, good hemostasis, and preservation of canthal anatomy.