| Most patients with obstruction of the tear ducts who present to the Johns Hopkins Sinus Center have been evaluated by an opthalmologist 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 post-surgical recovery period.
The primary goal of the surgery is to provide a pathway for drainage from the eye to the inside of the nose. - DCRs are usually performed under general anesthesia.
- Working endoscopically through the nose, our surgeons create a new opening for the tear duct to drain into the nose.
- Our surgeons will address any potential intranasal causes of failure of DCR such as a deviated septum, an enlarged middle turbinate, or local sinus disease.
- DCRs do not involve cutting through the skin, as it is performed entirely through the nostrils. Therefore, most people can go home the same day. Learn more about pre and post-operative care.
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