Performed by Dr. Dasari Keerthi Kumar at Harsha Sai Eye Hospital
Dacryocystectomy in Nizamabad is a surgical procedure to remove the lacrimal sac when it becomes chronically infected or diseased and cannot be salvaged through other treatments. This procedure is typically recommended for patients with recurrent dacryocystitis, lacrimal sac tumors, or when dacryocystorhinostomy has failed. Dr. Dasari Keerthi Kumar at Harsha Sai Eye Hospital performs this specialized ophthalmic surgery with precision and comprehensive post-operative care.
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A step-by-step look at what happens during this procedure.
The procedure begins with administration of either local anaesthesia with sedation or general anaesthesia, depending on patient factors and surgeon preference, ensuring complete comfort throughout the surgery.
A small incision is made in the skin near the inner corner of the eye, providing access to the lacrimal sac while minimizing visible scarring through careful placement along natural skin creases.
The lacrimal sac is carefully dissected and separated from surrounding tissues including the medial canthal ligament and nasolacrimal duct, ensuring complete exposure while preserving adjacent structures.
The entire lacrimal sac is excised and removed, with careful attention to removing all diseased tissue while maintaining hemostasis and protecting the lacrimal canaliculi and surrounding orbital structures.
The surgical site is meticulously closed in layers with absorbable sutures, and a sterile dressing is applied. The nasolacrimal duct opening may be sealed to prevent mucus reflux and ensure optimal healing.
A structured, patient-first approach from first consultation to full recovery.
At Harsha Sai Eye Hospital, Dr. Dasari Keerthi Kumar conducts thorough imaging studies including DCG and CT scans to evaluate lacrimal anatomy, assess extent of disease, and plan the optimal surgical approach for each patient.
Our team utilizes microsurgical instruments and magnification to ensure precise tissue handling, minimal trauma, and optimal cosmetic outcomes while completely removing the diseased lacrimal sac and preventing recurrence.
We provide detailed recovery instructions, prescribed antibiotics and anti-inflammatory medications, and schedule regular follow-up appointments to monitor healing, manage any concerns, and ensure complete resolution of symptoms.
Our hospital offers ongoing care for persistent epiphora management, counseling on tear drainage alternatives, and monitoring for any complications, ensuring patients receive comprehensive support throughout their recovery journey.
What to expect at each stage of your recovery journey.
The first 48-72 hours involve rest, ice application to reduce swelling, and starting prescribed antibiotic and anti-inflammatory eye drops. Patients should avoid strenuous activities, keep the surgical area clean and dry, and sleep with head elevated to minimize swelling.
During weeks 1-2, bruising and swelling gradually subside, and patients can resume light daily activities while avoiding heavy lifting, bending, or vigorous exercise. Follow-up appointments monitor wound healing and address any drainage or discomfort concerns.
By weeks 3-6, the incision site continues to heal with fading of any residual scarring, and patients can gradually return to all normal activities including exercise. Persistent epiphora is managed with artificial tears, and long-term adaptation to altered tear drainage occurs naturally.
Complete elimination of recurrent dacryocystitis episodes, discharge, and painful swelling that previously affected the lacrimal sac area, providing significant relief from chronic discomfort and reducing risk of orbital cellulitis.
Patients experience freedom from repeated infections requiring antibiotics, reduced anxiety about facial swelling and discharge, and improved ability to participate in daily activities without concern for infection flare-ups.
The surgical incision typically heals with a fine, inconspicuous scar along the natural contours near the inner eye corner, which fades significantly over time and is rarely noticeable in most patients.
While some degree of tearing may persist due to altered drainage pathways, most patients adapt well and can manage symptoms effectively with occasional use of artificial tears or dabbing, finding it preferable to chronic infections.
Let's clear up some of the most common myths about dacryocystectomy (dct).
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