Dacryocystorhinostomy surgery

Tears are essential for maintaining healthy eyes, providing lubrication, and washing away irritants. When the tear ducts, which drain tears from the eyes into the nose, become blocked, it can lead to excessive tearing, eye irritation, discomfort, and even infection.

This condition, known as tear duct obstruction or nasolacrimal duct obstruction, can affect people of all ages, from newborns to adults. While some cases may resolve on their own, particularly in infants, others require intervention to restore proper drainage. One effective and commonly performed procedure for treating tear duct obstruction is Dacryocystorhinostomy (DCR) surgery.

Tear Duct Obstruction and DCR Surgery

This operation creates a new tear duct to bypass the blocked tear duct which will enter the nose at a higher level. The usual indication for DCR is complete or partial obstruction of the tear drainage system (Nasolacrimal Duct). The subsequent watering can cause skin irritation, visual problems, social embarrassment, chronic discharge and acute or chronic dacryocystitis (infection of the Nasolacrimal sac). A DCR operation will create a new channel for the tears to drain into and subsequently stop the watery eyes and eliminate the symptoms.

The procedure is performed as an open operation, involving a cut in the skin on the side of your nose. A loop of fine soft plastic tube (nasolacrimal tubing) is threaded from the opening of the tear duct on the inner corner of your upper and lower eyelid through the new channel and into your nose. This tube stays in place for 2 months to keep the new passage open whilst healing. DCR operations are carried out as day case procedures and you can usually return home the same day, although sometimes an overnight stay may be required.

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Following DCR surgery, you can expect some mild discomfort, bruising, and swelling around the eye and nose. We will provide you with detailed post-operative instructions, including how to care for the surgical site and manage any discomfort. Most patients can resume their normal activities within a few days, though complete healing and optimal tear drainage may take several weeks.

DCR surgery boasts a high success rate in relieving symptoms of tear duct obstruction and restoring proper tear flow, significantly improving patients’ quality of life. If you are experiencing persistent tearing, eye discomfort, or recurrent eye infections, it’s essential to consult with our eye specialist to determine the cause and discuss appropriate treatment options, including DCR surgery.

To discuss DRC Surgery, book a consultation for an expert diagnosis and treatment call us on 01392 699969 or contact us online.

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