Do you constantly struggle with watery eyes, chronic eye infections, or unexplained tearing? These symptoms could point to a blocked tear duct, medically known as nasolacrimal duct obstruction (NLDO). This condition prevents tears from draining normally. The result is discomfort and recurrent infections.
One of the most effective treatments for this condition is dacryocystorhinostomy (DCR), a surgical procedure that creates a new drainage pathway for tears. While traditional DCR requires an external incision, many patients today benefit from a less invasive option —Endoscopic DCR.
What Is Endoscopic Dacryocystorhinostomy (DCR)?
Endoscopic dacryocystorhinostomy (DCR) is a surgical procedure that creates a new drainage pathway for tears when the natural duct is blocked. Unlike traditional external DCR which requires facial incisions, this advanced approach:
- Is performed entirely through the nasal cavity
- Leaves no visible scars
- Offers faster recovery
How Does a DCR Procedure Work?
Our Puyallup ENT surgeon uses an endoscope to visualize the inside of your nose and to locate the lacrimal sac. A small opening is made between the sac and the nasal cavity. This is done to bypass the obstruction. Microsurgical tools or lasers might be used to remove some bone and create a passage. A temporary stent might be placed if there’s a need to keep the new drainage path open.
This procedure is typically done under general anesthesia and in an outpatient setting. A DCR procedure is usually used when other treatments like massage, warm compresses, or dilation of the nasolacrimal duct don’t work.
Who Needs Endoscopic DCR?
If you have a blocked tear duct, known as a nasolacrimal duct obstruction, and are experiencing symptoms (excessive tearing, eye discharge, pain around the tear duct area), you might need an endoscopic DCR. A trained rhinologist in Puyallup, Washington, can examine your tear ducts and recommend a treatment.
The Benefits of Endoscopic DCR Over External DCR
Compared to external DCR, the benefits of endoscopic DCR are impressive. Let’s take a look.
- No facial scar or incision
- Faster healing and quicker recovery time
- Less postoperative discomfort
- Enables the surgeon to address intranasal issues (deviated septum, sinus disease) at the same time
- Reduced disruption to the surrounding area, like the medial canthal tendon
- Outpatient surgery with no overnight hospital stays
- High patient satisfaction due to both cosmetic and functional outcomes
Expected Results and Recovery
The endoscopic DCR procedure has a high success rate. The success rate of the procedure will vary. It will depend on the cause and location of your blockage. But the typical success rate is between 85% to 95% when using an experienced surgeon.
Most patients see a significant improvement in tearing and infections. The full recovery time typically only takes a few weeks.
Postoperative Care
The postoperative care for this procedure includes using saline rinses and getting a follow-up nasal endoscopy. And if you had temporary stents put in, they will need to be removed.
Possible Side Effects of a DCR Procedure
Serious complications of this surgery are rare. And the side effects are minor. You might experience some nasal congestion, bloody drainage, or mild discomfort. You might also develop an infection, scarring within your nose, and a recurrence of tearing. If you develop any of these issues, contact your doctor to discuss a resolution.
Looking for a Reputable Rhinologist Near Tacoma and Seattle, Washington?
If you’re dealing with chronic tearing or frequent eye infections, don’t wait for your symptoms to worsen. Contact Greg Davis, M.D. today. Our rhinologist is specially trained in endoscopic DCR. All treatment options will be explored. With today’s advanced, minimally invasive techniques, lasting relief might be closer than you think!
