DCR (Dacryocystorhinostomy)

DCR (Dacryocystorhinostomy)

What is a Dacryocystorhinostomy (DCR)?

A DCR is a procedure to bypass a blocked nasolacrimal duct (tear duct or tear drain). As you age, your natural tear drain may narrow or close making it difficult for your tears to drain through the normal drainage system. These blockages often cause very bothersome tearing and can even predispose to infection.

How is a DCR performed?

A DCR is performed in an outpatient facility under general anesthesia. Key-Whitman Cosmetic Center performs both endoscopic (scarless) and external DCR. The procedure involves bypassing the blocked nasolacrimal duct and creating a new drainage pathway for the tears into the nose. At the end of the procedure, a small stent is placed in the new tear drain, and this is removed in the office in the months following the surgery.

Am I a Candidate for DCR?

There are a variety of conditions that can cause the eyes to water. Most commonly, the eyes water in response to irritation, allergies, or dryness. Sometimes, however, a blocked tear duct is the culprit. We will evaluate all of the potential causes of tearing and determine a treatment plan based on your symptoms and examination. This assessment often involves irrigation of the tear duct to detect a true blockage and nasal endoscopy to visualize the other side of the tear drain (in the nose). All of this can be performed on your first consultation with us.

When Can I Return to Normal Activities?

Patients must avoid blowing their noses and strenuous activity or heavy lifting for 2 weeks after surgery. Patients may return to work typically within 5-7 days.

To learn more about dacryocystorhinostomy or DCR surgery, contact us at 214-220-3937 to schedule an appointment.

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