Glyxambi
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 2885
  • Home
  • Print this page
  • Email this page


 
   Table of Contents      
PHOTO ESSAY
Year : 2018  |  Volume : 66  |  Issue : 2  |  Page : 299

Serendipitous use of light source of operating microscope in endoscopic dacryocystorhinostomy


Department of Ophthalmic Plastic Surgery, L J Eye Institute, Ambala, Haryana, India

Date of Submission26-Aug-2017
Date of Acceptance27-Nov-2017
Date of Web Publication30-Jan-2018

Correspondence Address:
Dr. Swati Singh
Ophthalmic Plastics Services, L J Eye Institute, Ambala, Haryana
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_769_17

Rights and Permissions
  Abstract 


Keywords: Endoscopic dacryocystorhinostomy, light source, microscope


How to cite this article:
Singh S, Singh M, Mittal V. Serendipitous use of light source of operating microscope in endoscopic dacryocystorhinostomy. Indian J Ophthalmol 2018;66:299

How to cite this URL:
Singh S, Singh M, Mittal V. Serendipitous use of light source of operating microscope in endoscopic dacryocystorhinostomy. Indian J Ophthalmol [serial online] 2018 [cited 2019 Jul 17];66:299. Available from: http://www.ijo.in/text.asp?2018/66/2/299/224109



Instrumentation failure during any surgery creates a panicky state and triggers our reflexes. A 46-year-old male with right nasolacrimal duct obstruction was undergoing endoscopic dacryocystorhinostomy as per described standard technique under general anesthesia.[1] While making the lacrimal sac flaps, the endoscopic light source (120 W, Hospiline Equipments Private Limited, Delhi, India) suddenly got extinguished and stopped working. With no standby light source, we thought of using surgical microscope's (Carl Zeiss Meditec AG, Germany) LED light source. The light cable could be easily detached from microscope and plugged into 0° telescope after removing its black tip at the end of the cable [Figure 1]a and [Figure 1]b.
Figure 1: (a and b) Telescope with microscope's light cable attached (big arrow) after removing its black tip manually and adjacent optical cable of nonworking LED light source (small arrow). (c) Telescope with microscope's light source and its input system. (d) Endoscopic view of the right nasal cavity with visible probe of lacrimal intubation set

Click here to view



  Comment Top


There was no overheating of telescope with the use of light cable. Operating microscope's light source consists of 100 W light bulb and has 1600 lumens intensity, which was comparable to LED light source used in our endoscopic system (120 W light bulb). Surgery could be completed with the help of light source assistance uneventfully [Figure 1]c and [Figure 1]d.


  Conclusion Top


In an emergency situation with no standby LED source, operating microscope's light source may be used to attach to nasal endoscopes and thus continue with surgery

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understand that name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ali MJ, Psaltis AJ, Murphy J, Wormald PJ. Powered endoscopic dacryocystorhinostomy: A decade of experience. Ophthal Plast Reconstr Surg 2015;31:219-21.  Back to cited text no. 1
[PUBMED]    


    Figures

  [Figure 1]



 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
Abstract
Comment
Conclusion
References
Article Figures

 Article Access Statistics
    Viewed274    
    Printed1    
    Emailed0    
    PDF Downloaded61    
    Comments [Add]    

Recommend this journal