Adult acquired nasolacrimal duct obstruction
Pediatric congenital nasolacrimal duct obstruction
Traumatic nasolacrimal duct laceration emergencies
Chronic dacryocystitis or cellulitis
Far Eastern Memorial Hospital's Ophthalmology Department sent personnel abroad for training in 2010 and independently established its endoscopic lacrimal surgery system in 2011 — the earliest medical center in Taiwan to comprehensively build endoscopic nasolacrimal duct surgery and clinical care. Since 2014, endoscopic procedures have surpassed and almost replaced traditional external dacryocystorhinostomy. The center provides 24-hour emergency lacrimal trauma care, canalicular probing, balloon dilation, double/single stent placement, external and endoscopic endonasal dacryocystorhinostomy. Advanced equipment includes AS-OCT, orbital CT, Schirmer test, and LipiView for precision diagnosis. Cross-team collaboration with the in-house Dry Eye Center (2016 National Quality Award Bronze Medal), with surgical-grade endoscopic imaging in outpatient clinics. Trains domestic and international fellows, deepening New Southbound medical exchange with Indonesia. 2018-2023: 229 endoscopic cases with 95.0% success rate and 0% complications.
Taiwan's first ophthalmology-independent endoscopic lacrimal surgery
24-hour emergency lacrimal trauma service
Surgical-grade endoscopic imaging in OPD
Cross-team integration with Dry Eye Center
PACS permanent image archive
Diverse nasolacrimal stent options
15 attending physicians (13 full-time, 3 adjunct)
OPD past 3 years: 1,450 visits
Primary care referrals: 842
Lacrimal surgeries: 211
2023: 83 cases
Emergency surgeries 2022-2023: 25
2011-2017 endoscopic success rate: 90.7%
Same period external DCR success: 90.1%
2018-2023 endoscopic 229 cases success: 95.0%
Same period complications: 0%
International endoscopic range: 79.2-96.8%
SOP execution rate: 100%
5 standardized SOPs at 100% execution
Annual resident lacrimal irrigation assessment
Nurse LipiView SOP audit
Endoscopic surgery complications: 0%
Complete traceable image records
Cross-specialty ENT collaborative surgery
Exam process very satisfied: 95%
Education content very satisfied: 100%
Surgical results very satisfied: 85%
Health Week lacrimal event satisfaction: 98%
Positive media coverage (print/web/radio)
Positive SDM feedback from patients
36 invited lacrimal/oculoplastic lectures
Invited to 5th World Endoscopy Conference
Participated in APSOPRS
2018 paper cited in international meta-analysis
2024 hosted Indonesia North Sumatra ophthalmology fellow
2023 hosted Taiwan Ophthalmology Professors Society Spring Symposium
Taiwan's earliest, largest endoscopic lacrimal study
Taiwan's earliest ophthalmology-independent procedure
Comprehensive integrated lacrimal disease care
Trained 2 domestic, 2 Indonesian fellows
Drives national referral benchmark and resource efficiency
