Sir,
We would like to thank to Ali et al., for the interest about our manuscript titled “Assessment of patient satisfaction following external versus transcanalicular dacryocystorhinostomy with a diode laser and evaluation if change in quality of life after simultaneous bilateral surgery in patients with bilateral nasolacrimal duct obstruction”. This study was mainly conducted for the evaluation of subjective symptoms of patients that undergone dacryocystorhinostomy surgery. The symptoms were graded with a questionnaire at 1 week, 1-month and 3-month visits. Silicone tubes were removed at 8 weeks postoperatively therefore we did not evaluate the symptoms at this time. We are planning to compare the objective outcomes of two different techniques after the completion of 1 year follow-up. We believe that detailed and validated questionnaires are needed in adult patients with nasolacrimal duct obstruction to assess the success of dacryocystorhinostomy. Bilateral dacryocystorhinostomy is not our routine surgical approach in patients with nasolacrimal duct obstruction, however we think that it may be an alternative surgical choice for some selected patients.