Delhi Journal of Ophthalmology

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

Deepsekhar Das1, Mandeep Singh Bajaj1, Swechya Neupane1, Sahil Agrawal1, Saloni Gupta2
1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
2Northern Railway Central Hospital, New Delhi, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Sahil Agrawal 
Oculoplasty and Orbital Tumor Services
Dr Rajendra prasad centre for ophthalmic sciences
All India Institute of Medical Sciences New Delhi India
Email: agrawalsahil03.acad@gmail.com


Received: 19-MAR-2021 Accepted: 16-APR-2021 Published Online: 05-OCT-2021
DOI: https://dx.doi.org/10.7869/djo.692

Abstract
Dacryocystorhinostomy (DCR) with Pawar intracystic implant placement is a simple and faster surgical option for treating epiphora. Its advantages being small length of incision (5-6 mm), 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.

Keywords :Pawar Implant, Diplopia, Dcr, Dcr-Complications