Dacryocystorhinostomy(DCR) surgery

Dacryocystorhinostomy(DCR) surgery Iran

During and After dacryocystorhinostomy surgery

How long does it take to recover?

What are the alternatives to the treatment?

Dacryocystorhinostomy surgery

What is DCR?

Dacryocystorhinostomy surgery or Endoscopic DSR can be defined as the performance of a procedure for the purpose of treating epiphora (tearing) which occurs due to the blockage of nasolacrimal duct. The lacrimal gland is located at the upper outer margin of the eye where tears originate. With each blink, the tears cross the eye. They are then directed into small openings in the eyelids known as puncta. From this point onward, the tears travel into the lacrimal sac through a pathway called the canalicular system. The location of the lacrimal sac is between the eyes and the nose. Through the nasolacrimal duct it funnels tears into the nasal cavity. There can be many causes of excessive tearing as this is quite a long passage of tears to pass. Blockage of nasolacrimal duct is a very common problem and can be treated by the creation of a direct opening into the nasal cavity from the lacrimal sac. This procedure is known as DCR. An ophthalmologist and an otolaryngologist are involved in carrying out this procedure. The reason why DCR is indicated in treating tearing is because of nasolacrimal duct obstruction. Blockage of this duct occurs due to many reasons like inflammatory medical conditions, prior surgery, tumor, or trauma, but mostly due to an unidentifiable cause. 

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General information about Dacryocystorhinostomy surgery

The following table describes general information about Dacryocystorhinostomy surgery in Iran including Dacryocystorhinostomy surgery cost in Iran, recovery time, and to name but a few.

General information

Cost

$400 per eye

$700 both eyes

Anesthesia

general anesthesia

Hospital stay

1 day

Back to work

10-14 days

Duration of operation

about 1 hour

Minimum stay in Iran

10 days

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Before dacryocystorhinostomy surgery

Talk with your doctor about how to prepare for your dacryocystorhinostomy. Ask whether you need to stop taking any medicines before the procedure. You will need to avoid eating anything after midnight before the day of the surgery.

Your doctor may want certain tests before the procedure to get a better idea of your anatomy. These might include:

  • CT scan of your nasal passages
  • MRI scan of your nasal passages

Dacryocystorhinostomy side effects

All procedures have risks. Some possible risks of this procedure include:

  • Abnormally fused tissue in the nose
  • Displacement of the stent placed in the duct
  • Excess bleeding
  • Infection
  • Prominent facial scar

There is also a risk that the DCR will not be effective.

Your risks may differ according to your age, your other health conditions, the type of DCR performed, and the reasons for it.

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During dacryocystorhinostomy surgery

Usually, the surgery is performed under general anesthesia, but it may also be performed under local anesthesia according to the surgeon or patient’s preference. DCR can either be achieved through an endoscopic approach (usage of instruments and a small telescope through the nasal cavity) or from an endoscopic approach (usage of a small facial incision). This procedure aims at the bypass of obstructed nasolacrimal duct and allowing tear drainage into the nasal cavity directly from the lacrimal sac. Endoscopic DCR approaches the nose and performs the surgery through a telescope and small instruments. This approach of DCR has now become a commonly used procedure as it avoids a facial scar and is also associated with less pain. External DSR does the same, but the only difference is that it approaches the lacrimal sac through a small facial incision and performs the surgery between the eye and the nose. The lacrimal sac is then identified and opened into the nose. In order to maintain the opening, stents or sutures are used by the surgeon. Only on the basis of extensive anatomic study is the location of lacrimal sac known. This procedure involves the removal of bone from over the lacrimal sac and then it is opened into the nasal cavity.

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After dacryocystorhinostomy surgery

Recovery after dacryocystorhinostomy (DCR) surgery:

As soon as the operation is over, you will have your breathing, wounds, blood pressure and pulse checked on a regular basis by a nurse. You will feel drowsy for several hours post treatment. You will be given an oxygen mask to breathe properly until you are fine and can breathe comfortably on your own. Anesthetics are known to make people sick. Hence, you will offer an injection by a nurse to make the feeling of sickness go away and this will definitely help in settling it. You will feel that a drip is running in the vein of your hand. This will continue until you can eat and drink again. You will require no stitches and dressing after the operation. It is safe to expect some bruising and swelling after the operation. Simple painkillers like Paracetamol will help with the mild pain that you may face after the operation. There will be a stay period of one night in the hospital post-surgery. You can then go home.

Read more about: Blocked tear duct surgery in Iran

How long does it take to recover?

Bruising and swelling last for about a couple of weeks. Total recovery takes approximately 6 weeks.

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What are the alternatives to the treatment?

There are many alternatives available of Endoscopic DCR. These include therapeutic probing, punctual irrigation, steroid eye drops, antibiotics, balloon dilatation, and stenting.

Read more about: dcr surgery complications

Eye surgeons in Iran

It is important that you seek the assistance of experienced and skilled eye surgeons in Iran who have provided a suitable condition for people with limited budgets to do dacryocystorhinostomy in Iran easily. It is worth explaining that the quality provided by Iranian surgeons is far higher than other countries including Turkey and India.

Eye surgeons in Iran, have performed numerous procedures annually which make surgeons in Iran more experienced than other countries’ Eye surgeons, due to high demand and low costs of dacryocystorhinostomy in Iran, thousands of people travel to Iran every year in a way that you can perform dacryocystorhinostomy surgery in Iran by the best eye surgeons with affordable and reasonable price.

  1. Experience

Because of performing a great number of procedures, they become knowledgeable and highly skilled which make them very famous worldwide.

  1. Expertise in different types of eye surgery

It is of paramount importance that your surgeon be expert in various types of eye surgery.

1What is a DCR surgery?
Dacryocystorhinostomy (DCR) surgery is a procedure that aims to eliminate fluid and mucus retention within the lacrimal sac, and to increase tear drainage for relief of epiphora (water running down the face)
2How long is recovery from DCR surgery?
One week postoperative the sutures are removed, oral medications discontinued, topical steroids are tapered and nasal medications continued for two more weeks. The patient is reviewed at 6 weeks, 12 weeks, and 6 months. If the patient is intubated then tube removal is usually done at 12 weeks.
3Is tear duct surgery dangerous?
The main risks of tear duct surgery are recurrence of the blockage (in about 10 percent of cases), infection (which is extremely rare), and blood from the eye or the nose.
4How is tear duct surgery performed?
Treatment of Tear System Blockage. When the nasolacrimal duct, the tube which drains tears into the nose, is blocked a surgical procedure is usually required. During this procedure, called a DCR (Dacryocystorhinostomy), a hole is created between the tear sac and the inside of the nose.
5How long does tear duct surgery take?
A surgical probe takes about 10 minutes. A thin, blunt metal wire is gently passed through the tear duct to open any obstruction. Sterile saline is then irrigated through the duct into the nose to make sure that there is now an open path. There's very little discomfort after the probing.
6Does tear duct surgery work?
Stenting or intubation. This procedure is usually done using general anesthesia. A thin tube, made of silicone or polyurethane, is threaded through one or both puncta in the corner of your eyelid. These tubes then pass through the tear drainage system into your nose.
7Do blocked tear ducts go away in adults?
The condition is caused by a partial or complete obstruction in the tear drainage system. ... The condition usually gets better without any treatment during the first year of life. In adults a blocked tear duct may be due to an injury, an infection or a tumor. A blocked tear duct is almost always correctable.
8What is recovery time for tear duct surgery?
Tear duct probing usually takes 30 to 60 minutes in the operating room. The procedure can take longer depending on how complex the case is. After surgery, the doctor will discuss the findings with you.
9Can eye drops trickle down your throat?
You may get a taste of eye drops in your mouth, or a feeling that the drops are running down your throat. This is normal as the tear duct which drains tears to your nose will also drain some of the eye drop.
10Will a blocked tear duct go away on its own?
For infants, a blocked tear duct will most often go away on its own before the child is 1 year old. If not, the outcome is still likely to be good with probing. In adults, the outlook for a blocked tear duct varies, depending on the cause and how long the blockage has been present.

2 Comments

  1. Gandhi says:

    In this article,Dacryocystorhinostomy can help determine the cost of surgery and the best hospital to perform. The ophthalmologist and otolaryngologist will be involved to perform this procedure. Due to the low costs of dacryocystorinostomy in Iran, thousands of people travel to Iran every year. This information can be of great help to those who are suffering from the DCR of ​​the eye. Thank you for the great information.

    • Iranian Surgery Adviser says:

      Hello Gandhi, you’re welcome, our mission is to provide patients with enough information about different types of surgery in Iran.

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