Lacrimal Duct Surgery

Dacryocystorhinostomy (DCR): Treatment of Distal Lacrimal Duct Obstruction

Dacryocystorhinostomy (DCR) is a surgical procedure used to treat blockage or obstruction of the lacrimal duct, a condition commonly associated with dacryocystitis. Dacryocystorhinostomy can be performed using either the traditional open surgical approach or a minimally invasive endoscopic technique.

Common Symptoms of Dacryocystitis

  1. Excessive or persistent tearing

  2. Swelling and redness in the lacrimal area

  3. Pain or tenderness around the eye

  4. Discharge of pus or mucus from the eye

  5. Itching or burning sensation in the eyes

Common Causes of Dacryocystitis

  1. Lacrimal duct obstruction: This may be caused by a variety of factors, including infections, inflammation, tumors, or injuries involving the nose or eyes.

  2. Congenital stenosis of the lacrimal drainage system: A condition in which the lacrimal duct is abnormally narrow or blocked from birth.

  3. Infections: Bacterial or viral infections may cause inflammation and obstruction of the lacrimal duct.

The treatment of dacryocystitis depends on the severity of the condition and its underlying cause. In some cases, symptoms may improve with conservative treatments, such as gently massaging the lacrimal area to help open the duct or applying warm compresses to reduce inflammation. However, if symptoms persist or are severe, dacryocystorhinostomy (DCR) may be required.

During a dacryocystorhinostomy, the surgeon creates a new passageway or direct connection between the lacrimal sac and the nasal cavity, bypassing the obstructed lacrimal duct. This allows tears to drain properly through the new opening, relieving the symptoms of dacryocystitis.

It is important to consult an ophthalmologist, eye specialist, or otolaryngologist (ENT specialist) for an accurate evaluation and advice regarding the most appropriate treatment options if symptoms of dacryocystitis occur.