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Abstract ID: 24-146
DCR preferences among oculoplastic surgeons: Barriers and facilitators to adoption of endoscopic DCR
HAMAD ALSULAIMAN
Purpose
To determine the preference for dacryocystorhinostomy (DCR), patient selection criteria for endoscopic
DCR, endoscopic DCR technique, and barriers to adoption of endoscopic DCR
Methods
Cross-sectional study conducted from May-December 2021. A survey was sent to oculoplastic surgeons.
Questions on demographic characteristics, type of clinical practice, technique preferences, barriers and facilitators to
adoption of endoscopic DCR were included
Results
245 participants completed the survey. Most respondents were located at an urban site (84%), were in private
practice (66%), and had been in practice for more than 10 years (58.9%). Sixty one percent perform external DCR as the
first line procedure for treating primary nasolacrimal duct obstruction. The most common factor influencing the surgeon’s decision to perform endoscopic DCR was the patient’s request (37%) followed by endonasal exam (32%). The
most common barrier for not performing endoscopic DCR was the lack of experience and lack of training during fellowship (42%). The most worrisome complication for most respondents was failure of the procedure (48%), followed by
bleeding (30.3%). Eighty one percent believe surgical mentorship and supervision during initial cases would facilitate endoscopic DCR learning.
Conclusion
External Dacryocystorhinostomy is the preferred technique for treating primary acquired nasolacrimal
duct obstruction. Learning endoscopic DCR early during fellowship training and high surgical volume to improve the
learning curve dramatically impacts the adoption of the procedure.
Additional Authors
Walaa Alturkistany – King Khaled Eye Specialist Hospital
Richard Allen – King Khaled Eye Specialist Hospital
Aysha Aloqab – King Khaled Eye Specialist Hospital
Silvana Schellini – King Khaled Eye Specialist Hospital
Hunter Yuen – King Khaled Eye Specialist Hospital
Diego Strianese – King Khaled Eye Specialist Hospital
Rawan Althaqib – King Khaled Eye Specialist Hospital
– King Khaled Eye Specialist Hospital