The Endoscopic Dacryocystorhinostomy or DCR surgery is a surgical intervention, performed at our clinics in Mumbai to treat patients who are diagnosed with an obstruction in their lacrimal sac. A patient diagnosed with such a condition can have the problem from birth or acquired later. Endoscopic DCR surgery is performed by our expert cosmetic surgeons to restore the flow of tears into the nose from the lacrimal sac due to nasolacrimal duct dysfunction in patients.
Obstruction of nasal ducts in patients can lead to health conditions like epiphora or dacryocystitis. Term epiphora denotes the secretion of excessive tear fluid caused by an obstruction inside the lacrimal sac or tear ducts. Dacryocystitis, on the other hand, is a condition where the lacrimal sac has infection causing an obstruction in the tear ducts of the patient.
Endoscopic DCR surgery in Mumbai can help a patient to have their tear ducts obstruction-free. This minimally invasive surgery is performed by our expert ophthalmologists and top plastic surgeons to clear any infection or obstruction of the passage. Our best cosmetic surgeon can correct obstructions or infections of the nasal cavities and passages of the patient. Generally, endoscopic DCR surgery works better for patients who already had tried alternate therapies like massages or hot compresses to alleviate the symptoms.
What Is The Need For DCR?
Abnormal episodes of Epiphora or condition of watery eyes can occur with natural drainage system obstruction of the tear ducts of a patient. Obstruction may disable the normal functioning of the nasal drainage of the tear. Therefore, the situation can give way to stagnation of normal drainage of tear fluid, and recurring drainage infection of the fluid.
The endoscopic DCR surgery, which involves creating an opening directly through the lacrimal sac to go in the nasal cavity, also known as fistulisation may get rid of the symptoms. Following a surgical approach to treat the condition is through endoscopy in the nasal cavity.
Following are the two types of DCR surgery approach for patients in India:
Our expert cosmetic surgeon would make a tiny incision on the outside of the nose close to the eye for making the link of the drain. These drains are then left inside so that the gap does not close, to be removed later following the procedure.
The endoscopic Dacryocystorhinostomy surgical approach as the name suggests is done through the inside of the nose without any external scars or incision marks. Our best cosmetic surgeon would create a route to make way for the lacrimal sac. However, normally the success rate of endonasal is lesser than the external route of surgery. Endoscopic DCR surgery requires specialized expertise to perform the procedure in India.
Following are the plus points of the endoscopic DCR surgery route to fix the watery eyes condition of a patient at our clinics in India:
The disadvantages of endoscopic surgery are as follows:
The endoscopic DCR surgery is performed by a surgeon under local anesthesia at a clinic near you or our clinics in Mumbai. A decongestant is given to the patient to clear the passage of the nasal cavity to get ready for the surgery. Our top cosmetic surgeon would numb the area by inserting a gauze that is soaked in anesthesia. Following which the surgeon would insert an endoscope into the nose of the patient following through the lacrimal sac.
The cosmetic surgeon ensures the nature and details of the nasal obstruction. Once the obstruction is identified by the expert, the mucous membrane of the nose of the patient is incised and removed at our clinics in Mumbai. The procedure allows a gap formation inside the lacrimal sac to link the tear drainage. A part of the bone is removed to make the gap using a blade by the surgeon. Inserting silicone tubes to keep the drainage working can prove to be beneficial for long-term remedies.
Tear drainage reconstruction surgery or Endoscopic DCR surgery procedure is one with lesser complication and involved risks. The infection rate is very low, therefore possible in some rare cases. Some patients might experience nasal bleeding for a couple of days after the surgery, although minimizes with time. As with any other surgery, scarring of the surgical incision is possible in some cases. Yet the surrounding skin and wound would normally heal well.
In several patients, tearing might still continue despite successfully performed endoscopic DCR surgery. Cases like these require the patient to work closely with their doctor to find a lasting solution.
The patient might have the risk of the following complications during their endoscopic DCR surgery:
Post-operative care of a patient is a crucial aspect of timely recovery from the surgical procedure. Patients at our clinics in Mumbai will be instructed with a comprehensive post-operative guide and instructions. Moreover, the aftercare following endoscopic DCR surgery is fairly easy for most of the cases in India. Almost all patients are given a medication prescription for eye drops along with nasal spray after the surgery. Most of the patients will require to consult The Esthetic Clinics in a week after the surgery to follow up.
Our experts at The Esthetic Clinics suggest the patient undergoing endoscopic DCR surgery make sure to follow the aftercare guideline discussed with them. Following are some of the crucial aspects of the patient’s aftercare:
Endoscopic DCR surgery is often performed in a hospitalization setting at our clinics in Mumbai under local anesthesia to numb the treatment area. The surgery would typically take around an hour generally and the endoscopic DCR surgery is not a painful procedure. After the surgery at our clinics in Mumbai, a silicone tube-type stent will be put to form a new drainage system of the tears. This stent insertion generally will not cause any discomfort or pain to the patient. Moreover, there is no harm to the vision from the stent either.
The silicone tube is often removed after around 3 months of the surgery in a minor procedure at our clinics in India. It is a painless procedure. The cosmetic surgeon at The Esthetic Clinics will vigilantly evaluate the case of the tearing in the patient to make the diagnosis. Our experts may perform some examinations to evaluate the appearance of a baggy lower eyelid, dry eye, or a hindered tear duct for a correct diagnosis. Based on this analysis of the symptoms and reports of the patient, our specialists will give alternatives for improvement in symptoms.
Our clinics in Mumbai are well equipped with the best in industry equipment to perform endoscopic DCR surgery. The Esthetic Clinics in Mumbai have the best hands to perform various types of surgery and cosmetic treatments in India. Dr. Debraj Shome heads the team of expert surgeons to discuss the problems of the patient and suggest the best line of treatment to them. The patient will have to consult the team at The Esthetic Clinics to get in touch with a top cosmetic surgeon to consult their conditions.
Dr. Debraj Shome is Director and Co founder of The Esthetic Clinics. He has been rated amongst the top surgeons in India by multiple agencies. The Esthetic Clinics patients include many international and national celebrities who prefer to opt for facial cosmetic surgery and facial plastic surgery in Mumbai because The Esthetic Clinics has its headquarters there.