Asked by: Ciriaca Barriga
medical health eye and vision conditions

Is DCR surgery necessary?

Last Updated: 1st May, 2020

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A dacryocystorhinostomy (DCR) is a type of surgery done to create a new tear drain between your eyes and nose. You may need this surgery if your own tear duct has become blocked. The blocked duct often becomes infected as well. In most cases, the cause of a blocked tear duct is not known.

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Also to know is, is tear duct surgery necessary?

Treatment of Tear System Blockage When the nasolacrimal duct, the tube which drains tears into the nose, is blocked a surgical procedure is usually required.

Additionally, is DCR surgery painful? There is usually no significant pain after the surgery. You may note some aching, tenderness, swelling and bruising on the side of the nose and around the eye. If you experience pain take panadol or panadeine (not aspirin or ibuprofen for two weeks as this could cause bleeding).

Correspondingly, how long is recovery from DCR surgery?

After a DCR procedure we generally advise patients not to fly for 2 − 3 weeks, to avoid hot drinks for 36 hours, and not to blow their nose for 2 weeks. Patients should not undertake strenuous exercise for at least ten days, and should try to sleep with their head elevated on an extra pillow if possible.

How successful is DCR surgery?

The success rate of external DCR for patients with previous episodes of dacryocystitis was 82.7%, compared to 83.4% for patients without previous episodes of dacryocystitis. The success rate in patients without previous lacrimal duct surgery was 88.5% compared to 74.3% for patients with previous lacrimal duct surgery.

Related Question Answers

Asela Baraya

Professional

What happens if a blocked tear duct goes untreated?

What happens if a blocked tear duct is not treated? The location of a blocked tear duct will determine the importance of solving the subsequent water eye problem. This could eventually generate more serious problems, such as orbital cellulitis (infection of the fat and muscles around the eye).

Mikaela Banusch

Professional

Are Blocked tear ducts dangerous?

Having a blocked tear duct means your tears can't drain normally out of that eye. And while a blocked tear duct is often harmless for babies, in adults it can sometimes be a sign of a serious health problem. Blocked tear ducts are often treatable and temporary, but if the condition lingers, you should see a doctor.

Henrietta Matarredona

Professional

How do doctors unclog tear ducts?

The doctor enlarges the punctal openings with a special dilation instrument and inserts a thin probe through the puncta and into the tear drainage system. For adults with partially narrowed puncta, your doctor may dilate the puncta with a small probe and then flush (irrigate) the tear duct.

Imran Abinzano

Explainer

Will blocked tear duct go away?

The condition usually gets better without any treatment during the first year of life. In adults a blocked tear duct may be due to an injury, an infection or a tumor.

Otniel Rick

Explainer

What type of doctor does tear duct surgery?

Doctors do tear duct blockage surgery to open a blocked tear duct. This brief outpatient surgery is done by an ophthalmologist (eye doctor). Kids usually go home the same day.

Aydee Bacelo

Explainer

Is tear duct probing painful?

Tear Duct Probing
This is a pain-free procedure and, most of the time, undoes the blockage. For a few hours after tear duct probing, some children have blood-colored fluid drain from the eye.

Pacifico Tschachtli

Pundit

How can I unclog my tear duct naturally?

Apply a warm compress (a warm, wet clean washcloth) over the area of the tear sac. Then, place your index finger sideways along the bony ridge beneath the child's eye, with your finger pointing toward the top of the nose. Firmly, but gently, apply pressure with your finger tip between the eye and nose.

Ornella Reinder

Pundit

Is tear duct connected to sinus?

Nasolacrimal duct. Outline of bones of face, showing position of air sinuses. Excess tears flow through nasolacrimal duct which drains into the inferior nasal meatus. This is the reason the nose starts to run when a person is crying or has watery eyes from an allergy, and why one can sometimes taste eye drops.

Eduvigis Cheung

Pundit

How is a DCR performed?

Dacryocystorhinostomy or DCR is one of the most common oculoplastics surgery performed. It is a bypass procedure that creates an anastomosis between the lacrimal sac and the nasal mucosa via a bony ostium. It may be performed through an external skin incision or intranasally with or without endoscopic visualization.

Kasi Charan

Pundit

Is Dacryocystitis serious?

Often the dacryocystitis infection is mild. Sometimes, the infection is severe and can cause fever. Sometimes a collection of pus (abscess) may form, which can rupture through the skin, creating a passage for drainage. In acute dacryocystitis, the area around the tear sac is painful, red, and swollen.

Soraya Medran

Pundit

What causes Dacryocystorhinostomy?

A dacryocystorhinostomy (DCR) is a type of surgery done to create a new tear drain between your eyes and nose. This can cause a lot of tearing or discharge from the eye. The blocked duct often becomes infected as well. In most cases, the cause of a blocked tear duct is not known.

Malissa Tielemans

Teacher

What is a Dacryocystorhinostomy procedure?

Dacryocystorhinostomy (DCR) is a surgical procedure to restore the flow of tears into the nose from the lacrimal sac when the nasolacrimal duct does not function.

Antidia Landsberger

Teacher

What procedure is performed to open a blocked drainage system for tears?

Tear duct surgery, or dacryocystorhinostomy (DCR), is a surgical procedure performed by ophthalmolgists to unblock or drain obstructed or infected tear ducts or other portions of the tear (lacrimal) system.

Andera Cobo

Teacher

How do you remove a DCR tube?

1). This maneuver usually will bring the Silastic tubing anteriorly and allow it to be grasped with a hemostat or nasal forceps while the nasal cavity is kept open with a nasal speculum. The tube between the upper and lower puncta is severed, and then the Silastic tubing is withdrawn from the nose.

Xueqin Zambon

Teacher

What is endoscopic DCR?

Endoscopic dacryocystorhinostomy (DCR) is used to treat patients diagnosed with lacrimal sac or nasolacrimal duct obstruction (NLDO). A rigid endoscope is inserted into the nasal cavity to the lacrimal sac via the lacrimal duct to explore and confirm the nature of the obstruction.

Whitley Chorro

Reviewer

Can I wear contact lenses after DCR surgery?

However, if the tear duct surgery performed is lacrimal sac opening (dacryocystorhinostomy), a small silicone probe is placed in the internal canthus of the eye and treatment is eyedrops, for which the use of contact lenses on a daily basis is not contraindicated.

Kima Pey

Reviewer

Can you wear contacts after DCR surgery?

The stitches in the skin may be left in place or removed after one to two weeks, and you will be given an appointment for the outpatient clinic. Your vision may be blurred for few days and you may not be able to wear contact lenses.

Shalma Foy

Reviewer

What causes eye duct blockage?

In adults, tear ducts can get blocked for lots of reasons: The holes in the corners of the eyes, the puncta, narrow due to age. Trauma cuts the drainage duct. A broken nose or other injury leaves scar tissue that presses on the tear duct.

Yanitza Deshayes

Reviewer

How is a tear duct stent removed?

Monoka stents are removed by cutting any sutures that hold the stent in place and then pulling the stent out of the punctum with forceps. Jones tubes are removed by cutting the suture that is wrapped around the tube (if one is present) and then pulling out the tube with forceps.