In dacryocystorhinostomy (DCR), Lacrimal gland opens into:: (A) Inferior meatus, (B) Middle meatus, (C) Supreme meatus, (D) Superior meatus
Answer is B. DCR - After 4 year of age- Fistula made between medial meatus & lacrimal sac Dacryocystitis- (1) Congenital dacryocystitis - Mostly due to membranous occlusion at near the valve of hasner- Watering develops after 7 days of bih followed by mucopurulent discharge Regurgitation test positive Rx - Massage over the lacrimal sac (4 times a day) | If not able to cured by 6 months of age Probing of NLD with bowman's probe (REPEATED AFTER AN INTERVAL OF 3-4 WEEKS) |Repeated probing fails Intubation with silicone tube (silicone tube should be kept in the NLD for about six months) |After 4 years of age DCR (2) Adult dacrocystitis-Rx of Choice is DCR