Endoscopic DCR (Dacrocystorhinostomy)


A dacrocystorhinostomy (DCR) is a procedure to treat excessive tear flow (medically called epiphora) occurring due to a blockage in the nasolacrimal duct.
Any blockage in the long path of the tears that travel from the opening in eyelids to lacrimal sac (between nose and eye) finally through the nasolacrimal duct (tear duct) and to the nasal cavity, can lead to excessive tear outflow. One common reason is a blocked nasolacrimal duct. A DCR procedure creates a direct opening from the lacrimal sac into the nasal cavity to create a direct drainage mechanism.
While this duct can get blocked due to several identifiable reasons such as trauma, previous surgery, tumour, or an inflammatory medical condition, it is difficult to identify the underlying cause most of the times.
The evaluation and management of a DCR procedure may involve both an ophthalmologist and an otolaryngologist.

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Conditions treated


  • Excessive tear flow (epiphora)

Why this surgery?


If the patient does not opt for this surgery it might increase the risk of eye infections and inflammation.

Benefits


  • The pain is nominal and controllable with mild prescription pain medications.
  • Low infection risk (some surgeons prescribe post-surgery antibiotics to cover it) after surgery.
  • Very important from the patient’s point of view, there is no facial scarring. So aesthetically too, this is a superior procedure.

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