AIM: To observe the efficacy of two combined surgical methods in treatment of chronic dacryocystitis with upper lacrimal duct obstruction.

METHODS: Totally 68 cases(68 eyes)of chronic dacryocystitis with upper lacrimal duct obstruction were enrolled. They were randomly divided into Group A and Group B through random number table method, each group of 34 cases, Group A was treated with nasal endoscopic dacryocystorhinostomy combined with silicone tube implantation. Group B was treated with traditional dacryocystorhinostomy combined with silicone tube implantation. All patients were followed up for 1a.

RESULTS: In Group A, the total success rate was 82%, that in Group B was 79%. There were no significant difference between two groups' total success rate(P>0.05). The incidence of postoperative facial swelling in Group A was 6%. The facial scar incidence rate was 0. Those of Group B were 47% and 100%. The incidence of complications in Group A was significantly lower than that in Group B with significantly difference(P<0.05). Rate of patients' satisfaction was 82% in Group A, and 59% in Group B, which of Group A was significantly better than group B(P<0.05).

CONCLUSION: Canalicular intubation combined dacryocystorhinostomy using endoscopy is an ideal method in treatment of chronic dacryocystitis with upper lacrimal duct obstruction. It is safe, effective with less injury and less complication.