A Dacryocystorhinostomy (DCR) is a surgical procedure to create a new tear drainage between your eyes and your nose. You will need this surgery if your tear duct has become completely blocked causing persistent watering or recurrent infection.

During the surgery, your doctor will create a new opening from the lacrimal sac to the nasal cavity bypassing the blockage in the duct.  Sometimes, your doctor may leave a plastic stent to keep the opening patent to prevent it from re-blocking.  These stents will be removed at a later date.  Using an endoscopic DCR method will mean there will be NO incision required on the skin resulting in a faster recovery because the surgery is done through your nose.

Click to view AAO video on Endoscopic DCR

Possible risks of DCR

Although the risks are minimum, these are some possible complications;

• Infection
• Excessive bleeding
• Damage to ocular muscles
• Recurrence of the tear duct blockage
• Cerebrospinal fluid leakage
• Loss of vision

Do’s and Don’t’s

DO apply the eye medication or antibiotics as directed by your doctor

DO keep your follow-up appointment to ensure good healing and to remove the plastic stunting tubes at around 4-8 weeks

DO NOT blow your nose and avoid violent coughing

DO NOT take hot drinks or hot foods during the first 24 hours after surgery

DO NOT strain excessively at the toilet or lift heavy objects during the first week

DO NOT participate in strenuous activities or contact sports until your doctor has allowed you

DO NOT go swimming or scuba diving for at least 1 month

See your Eye or ENT surgeon if you experience persistent watery eye

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If you think you may be suffering from any medical condition, you should seek immediate medical attention from your doctor or other professional healthcare providers. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website.