DCR
DCR Surgery (Dacryocystorhinostomy): Permanent Treatment for Tear Duct Obstruction
Tear duct obstruction is a common condition that occurs when tears cannot properly drain from the eye into the nasal cavity. This may lead to excessive tearing (epiphora), recurrent eye infections, discharge, and chronic irritation affecting daily comfort and eye health.
At Özel Sistem Eye Medical Center, advanced diagnostic evaluation and DCR (Dacryocystorhinostomy) surgery are performed for patients with persistent tear duct obstruction using modern ophthalmic surgical techniques.
What is DCR Surgery?
Dacryocystorhinostomy (DCR) is a surgical procedure performed to create a new drainage pathway between the tear sac and the nasal cavity when the natural tear duct becomes blocked.
Rather than reopening the obstructed duct itself, DCR surgery establishes an alternative tear drainage channel, allowing tears to bypass the blockage and flow normally into the nose.
DCR is considered the gold standard treatment for chronic nasolacrimal duct obstruction in adults due to its high long-term success rate.
Symptoms of Tear Duct Obstruction
Common symptoms may include:
- Persistent watery eyes
- Recurrent eye infections
- Mucus or discharge from the eye
- Swelling near the inner corner of the eye
- Chronic irritation and discomfort
Untreated obstruction may increase the risk of recurrent dacryocystitis (tear sac infection).
Who is a Suitable Candidate?
DCR surgery may be recommended for patients with:
- Chronic nasolacrimal duct obstruction
- Recurrent dacryocystitis
- Tear drainage problems caused by trauma
- Persistent tearing unresponsive to medical treatment
A comprehensive ophthalmic and nasal evaluation is performed before surgery to determine the exact location and severity of the obstruction.
How is DCR Surgery Performed?
DCR surgery can be performed using two different techniques:
External DCR
A small incision is made between the eye and the nose to access the tear sac and create a new drainage pathway.
Endoscopic DCR
The procedure is performed through the nasal cavity using endoscopic technology without an external skin incision.
The most appropriate surgical technique is determined individually based on the patient's anatomy and clinical condition.
In selected cases, a temporary silicone tube may be placed to support healing and maintain the newly created drainage channel.
Recovery After DCR Surgery
Recovery after DCR surgery is generally comfortable and well tolerated. Mild swelling, bruising, or temporary nasal bleeding may occur during the first few days after surgery.
Most patients can return to normal daily activities within a short period, while prescribed medications and follow-up visits remain important for optimal healing.
Advantages of DCR Surgery
- Permanent improvement of tear drainage
- Reduction of excessive tearing and discharge
- Prevention of recurrent infections
- High long-term success rates
- Improved daily comfort and quality of life
When Should You See an Ophthalmologist?
Professional evaluation is recommended if you experience:
- Persistent watery eyes
- Recurrent eye infections
- Swelling near the tear sac area
- Chronic discharge or irritation
- Symptoms that do not improve with medical treatment
At Özel Sistem Eye Medical Center, our experienced ophthalmology team provides comprehensive diagnosis, advanced surgical treatment, and personalized postoperative care for tear duct disorders.