External dacryocystorhinostomy: Tips and tricks

Oman J Ophthalmol. 2012 Sep;5(3):191-5. doi: 10.4103/0974-620X.106106.


Dacryocystorhinostomy or DCR is one of the most common oculoplastics surgery performed. It is a bypass procedure that creates an anastomosis between the lacrimal sac and the nasal mucosa via a bony ostium. It may be performed through an external skin incision or intranasally with or without endoscopic visualization. This article will discuss the indications, goals, and simple techniques for a successful outcome of an external DCR.

Keywords: Congenital nasolacrimal duct obstruction; dacryocystorhinostomy; primary acquired nasolacrimal duct obstruction; secondary acquired lacrimal duct obstruction.