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Dacryocystorhinostomy DCR Procedure for the treatment of patients with stenosis or obstruction of the lacrimal duct Due to obstruction of the lacrimal system tears, mucous and bacteria are unable to be cleared from the eye by draining down to the nose as they usually would Patients suffer from wet eyes and chronic infection of the eye and the lacrimal system

Conventional DCR Treatment of choice and „Gold Standard“ Routinely performed by Ocularplastic Surgeons or ENT Surgeons Success rates ~ 90% Performed under GA Very invasive and traumatic procedure Long procedure time Lot of bleeding Leaves external scar Ophthalmologists „hate“ the procedure and refer patients to specialists

Endonasal Approach Performed by ENT Surgeons Less invasive No external scar However: Low success rates

Endoscopic Combined Laser Assisted DCR biolitec ECLAD Endoscopic Combined Laser Assisted DCR Transcanalicular approach through upper or lower punctum Performed under local anaesthesia Dilatation of the punctum Insertion of a 22G/21G Cannula Insertion of a 400µm laser fiber Visualization through an 0° or 30° rigid nasal endoscope Generation of osteum through the „paper bone“

biolitec ECLAD

biolitec ECLAD Advantages Minimal invasive procedure Performed under local anaesthesia Sutureless Bloodless Procedure time less than 10 minutes! No external scar High sucess rates of > 90% Can be performed by most of the Ophthalmologists Procedure very well suitable for failed conventional DCR‘ s Can be repeated

biolitec ECLAD Laser Ceralas E 15 Laser 15Watt, 980nm

biolitec ECLAD Accessories and Kits Auoclavable Handpieces 360µm „Yellow C- Flex“ fibers 365mm & 550µm Blue Slim Line Fibers 21G / 22G Cannulas Access of punctum with 550nm fiber possible without cannula