Obstruction of the lower tear duct can lead to epiphora (excessive tearing), inflammation, and recurrent infections in the lacrimal sac. Dacryocystorhinostomy (DCR) is a surgical procedure that creates a new drainage pathway for tears, relieving these bothersome symptoms.
Dacryocystorhinostomy (DCR) creates a permanent connection between the lacrimal sac and the nasal cavity, allowing tears to flow naturally from the eyes to the nose. There are several methods to perform the procedure:
- Transcutaneous approach: An incision is made in the skin near the lacrimal sac, and a new drainage pathway is created to the nose.
- Endonasal approach: Access is gained to the lacrimal sac from inside the nose, without skin incisions.
- Transcanalicular approach: Specialized instruments are used through the tear ducts to create the new drainage pathway.
In some cases, canalicular intubation may be needed to keep the drainage pathway open during healing.
Benefits of Dacryocystorhinostomy (DCR):
- Relief from epiphora, inflammation, and infections of the lacrimal sac.
- Improved comfort and quality of life.
- Safe and effective procedure with high success rates.
Recovery from DCR is usually quick and without major complications. You can return to your normal life in a few days. However, you may experience swelling, bruising, and discomfort in the area during the first few days. Your ophthalmologist will provide specific post-operative care instructions.
Finally, if you are suffering from obstruction of the lower tear duct and your symptoms do not respond to treatments such as eye drops or medications, DCR may be a viable option. Your ophthalmologist will evaluate your case and recommend the most suitable DCR method for you.
