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Endoscopic DCR

Endoscopic DCR

During an endoscopic DCR, the sinus surgeon works together with the eye surgeon to bypass the tear duct by creating a new opening directly from the lacrimal sac to your nasal cavity.

Dacryocystorhinostomy or DCR is one of the most common oculoplastics surgery performed.

Why its done

In longstanding NLDO, mucus can accumulate, resulting in a mucocele in the nasolacrimal sac or even acute or chronic dacryocystitis. Dacryocystorhinostomy (DCR) surgery can be performed to restore tear drainage and is usually the definitive treatment

Advantages

In comparison with external DCR, endoscopic DCR has the advantages of better cosmetic outcome and no facial scarring, a shorter wound recovery time and hospital stay, less blood loss during surgery, and better visualization of endonasal anatomy.

Success Rate?

Symptomatic success rate is usually reported to be lower than anatomical success rate, lying within the range of 74–83%. Some patients complain of persistent tearing after DCR even though a lacrimal drainage system is patent and there are no attributable problems in the eyelid or the ocular surface.

Recovery

Avoid heavy lifting for 7-10 days following your procedure. This will ease any extra pressure and blood flow to the sutures. Also avoid air travel during this period of time the pressure differences can add extra strain to the operated area as well.