What is DCR Surgery?

DCR stands for Dacryocystorhinostomy. It is performed when the normal tear drainage pathway becomes blocked or significantly narrowed. During the procedure, a new connection is created between the tear sac and the nasal cavity, allowing tears to drain normally into the nose. (Cambridge University Hospitals)

Symptoms of a Blocked Tear Duct

A blocked tear duct may cause:

• Constant or excessive watering of the eye
• Tears rolling down the cheek
• Sticky discharge around the eye
• Recurrent infection or inflammation near the tear sac
• Swelling or discomfort near the inner corner of the eye

A specialist evaluation can help determine whether the symptoms are due to tear duct blockage or another eye or nasal condition. (Gloucestershire Hospitals NHS Trust)

Types of DCR Surgery

DCR may generally be performed using two approaches:

External DCR: A small incision is made on the side of the nose to access the tear sac and create a new drainage pathway.

Endoscopic/Endonasal DCR: The procedure is performed through the inside of the nose using an endoscope, avoiding an external skin incision. The appropriate technique depends on the location of the blockage, nasal anatomy, previous treatment, and the surgeon’s assessment. (Cambridge University Hospitals)

Why is a Silicone Tube Used?

In many DCR procedures, a fine silicone tube or stent is placed temporarily to help keep the newly created drainage pathway open while healing takes place. The timing of tube removal varies according to the individual case and the surgeon’s protocol. (Guy’s and St Thomas’ NHS Trust)

Benefits of DCR Surgery

The primary aim of DCR surgery is to restore tear drainage and reduce symptoms such as excessive watering and recurrent infections associated with tear duct obstruction. DCR is generally considered an effective treatment for appropriate cases of blocked tear ducts. (Guy’s and St Thomas’ NHS Trust)

Recovery After DCR Surgery

After surgery, patients may experience temporary swelling, bruising, mild nasal bleeding, or discomfort. Recovery instructions can include avoiding strenuous activity and following prescribed eye and nasal care. Patients should attend scheduled follow-up appointments for monitoring and, when applicable, removal of the silicone tube. (Guy’s and St Thomas’ NHS Trust)

DCR Surgery in Gorakhpur – Dr. Rajeev Singh

If you are experiencing persistent watery eyes, blocked tear ducts, recurrent tear-sac infections, or discharge near the eye, consult an ENT and Head & Neck specialist for proper evaluation.

Dr. Rajeev Singh provides ENT and Head & Neck care in Gorakhpur, with evaluation and treatment planning for conditions involving the nose, sinuses and related tear drainage pathways.

Frequently Asked Questions

Q. What does DCR surgery treat?
DCR is primarily used to treat blockage of the tear drainage pathway.

Q. Does a blocked tear duct always require surgery?
Not necessarily. The treatment depends on the location and severity of blockage and the patient’s symptoms. A specialist evaluation is important.

Q. Is DCR performed through the nose?
Endoscopic DCR is performed through the nasal cavity. External DCR uses a small incision beside the nose. (Cambridge University Hospitals)

Q. How long does the silicone tube stay?
The duration varies from patient to patient and depends on the surgical approach and healing. Your surgeon will advise when it should be removed. (Guy’s and St Thomas’ NHS Trust)

Conclusion

DCR Surgery (Dacryocystorhinostomy) can provide a new drainage pathway when a blocked tear duct causes persistent watering, discharge, or recurrent infection. Early specialist assessment can help identify the cause of excessive tearing and determine the most appropriate treatment.

For consultation regarding DCR Surgery in Gorakhpur, consult Dr. Rajeev Singh for personalized evaluation and treatment advice.