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Most patients with obstruction of the tear ducts have been evaluated by an ophthalmologist and have been diagnosed with nasolacrimal duct obstruction.
The benefit of an endoscopic dacryocystorhinostomy (DCR) is to correct the condition caused by obstruction of the tear ducts. The endoscopic approach leaves no scars on the face like those of conventional open DCR. This approach also allows the endoscopic surgeon to address possible intranasal problems that might lead to failure of the surgery, such as a deviated septum or an enlarged middle turbinate. Symptoms associated with duct obstruction should disappear after the postsurgical recovery period.
The primary goal of the surgery is to provide a pathway for drainage from the eye to the inside of the nose.
Tear duct surgery is usually performed under general anesthesia in a team approach with an oculoplastics surgeon. Working endoscopically through the nose, our surgeons create a new opening for the tear duct to drain into the nose. The surgery does not involve cutting through the skin, as it is performed entirely through the nostrils. Therefore, most patients can go home the same day.