DCR Surgery
What is a DCR?
Dacryocystorhinostomy (DCR) is a surgical procedure to treat a blockage of the nasolacrimal duct (tear duct). Blockage may result in excessive tearing or infection with swelling around the eyelid.
DCR Surgery
SURGICAL MANAGEMENT
A DCR operation creates a new pathway for tears to drain from the eye into the nose. This reduces symptoms of excessive tearing and/or infection.
1. Before your operation
At your pre-operative visit Dr Botha will conduct a thorough evaluation of your eyes and tear ducts and medical history to determine the most appropriate approach in your situation.
2. Surgery
The surgery is typically performed under general anaesthesia. It is done as a day case which means you will be able to go home the same day.
The surgery involves making a small incision to the skin near the side of the nose. An opening is created in the bone to make a new pathway between the tear sac and the nose.
A stent or tube may be placed temporarily to keep the new drainage pathway open during the healing process. This is removed 4 to 8 weeks later.
3. What to expect after your operation
You can expect some swelling and bruising around your eye following the surgery. Using ice packs will help to reduce this.
You should avoid blowing your nose for two weeks after your surgery and refrain from hot beverages for at least 48 hours after your surgery to prevent nose bleeds.
You will be provided with a prescription for some oral antibiotics, eye drops and ointment to use on the wound.
You should avoid any strenuous activity including lifting heavy objects for a least a week and avoid swimming for two weeks after surgery.
A follow up appointment/s will be scheduled to monitor your progress and ensure proper healing.
We will aim to remove the stent (if placed) at 4 to 8 weeks post-operatively.
SURGICAL MANAGEMENT
Complications
While DCR surgery is generally very safe and effective, like any surgical procedure, it carries some risks and potential complications, including:
1. Bleeding and bruising
Temporary bleeding after surgery is possible. Rarely, if nose bleeds occur it may require nasal packing or further intervention. If you develop a nose bleed that doesn’t settle quickly you should present to your nearest emergency department.
2. Infection
Although rare, infection can occur and may require additional treatment.
3. Scarring
The incision is carefully placed to minimize scarring, but this may occur.
4. Stent-related issues
Discomfort, displacement or blockage of the stent may occur and may require intervention.
5. Eye Irritation
Temporary irritation may occur after surgery.
The most serious risk of any eyelid surgery performed is damage to your eyesight. Fortunately this risk is extremely rare.
SURGICAL MANAGEMENT
Conclusion
DCR surgery is a safe and effective way to treat blocked tear ducts. Dr Botha will tailor the surgical approach to your specific needs, considering your overall health and individual circumstances.
For more information or to schedule a consultation, please contact us.
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