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Endoscopic Dacryocystorhinostomy (DCR)

A Patient’s Guide to Treating Watery Eyes

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What is Endoscopic DCR?

Endoscopic Dacryocystorhinostomy (DCR) is a gentle, minimally invasive surgery to help people with blocked tear ducts. If your eyes are always watery, or you get frequent eye infections, a blocked tear duct might be the cause. This procedure creates a new pathway for your tears to drain into your nose, so your eyes can feel comfortable again.

Why Might I Need This Surgery?

You might be recommended Endoscopic DCR if you have:

  • Watery eyes (epiphora): Tears overflow because they can’t drain properly.

  • Frequent eye infections: Blocked ducts can trap bacteria, leading to infections.

  • Eye discomfort: You might feel a gritty sensation or fullness near your nose.

  • Other treatments haven’t worked: If massage, antibiotics, or probing haven’t helped, surgery may be the next step.

How is Endoscopic DCR Performed?

  1. Preparation: 
    Your doctor will examine your eyes and may order a scan to see where the blockage is.

  2. Anaesthesia:
    You’ll be asleep under general anaesthesia during the procedure.

  3. The Procedure: 

    • Dr Fragkiadakis uses a tiny camera (endoscope) through your nose—no cuts on your face!

    • A small piece of bone is removed inside your nose to make a new opening for tears to drain.

    • Sometimes, a small tube (stent) is placed to keep the new pathway open while it heals.

    • If your nasal septum (the wall between your nostrils) is bent, it may be straightened to allow access.

  4. Duration:
    The surgery usually takes about 60 to 90 minutes.

What Happens After Surgery?

  • Recovery:
    Most people go home the same day. You’ll be given medicine to prevent infection and help with healing.

  • Mild discomfort:
    Some swelling or a feeling of fullness around your nose or eyes is normal and should improve in a few days.

  • Care tips:

    • Use cold compresses to reduce swelling.

    • Use saline sprays to keep your nose clean.

    • Avoid smoke, dust, and blowing your nose for a couple of weeks.

    • Rest and avoid heavy lifting or strenuous activity for 1–2 weeks.

  • Follow-up:
    You’ll have check-ups to make sure you’re healing well and to remove any temporary tubes.

What Are the Benefits?

  • No visible scars:
    The surgery is done through your nose, so there are no cuts on your face.

  • Quick recovery:
    Most people recover faster and with less pain than with traditional surgery.

  • High success rate:

         The majority of patients get long-term relief from watery eyes and infections.

Are There Any Risks?

All surgeries have some risks, but serious problems are rare with endoscopic DCR. Possible risks include:

  • Infection (usually treated with antibiotics)

  • Mild bleeding

  • The new pathway narrowing over time (sometimes needing further treatment)

  • Rarely, symptoms may not fully improve

If you have any further queries call 02087207499 or email contact@entgeorge.com

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Dr. George

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