Performed by Dr. Dasari Keerthi Kumar at Harsha Sai Eye Hospital
Dacryocystorhinostomy in Nizamabad is a surgical procedure that creates a new pathway for tears to drain from the eyes into the nose, bypassing a blocked tear duct. This surgery is performed when chronic tear duct obstruction causes excessive tearing, discharge, and recurrent eye infections. At Harsha Sai Eye Hospital, Dr D Keerthi Kumar provides expert surgical treatment using modern techniques to restore normal tear drainage and improve patient comfort.
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A step-by-step look at what happens during this procedure.
The procedure begins with administering either general anaesthesia or local anaesthesia with sedation, depending on patient preference and medical condition. The surgical area around the eye and nose is cleaned and sterilized to prevent infection.
The surgeon makes a small incision either externally along the side of the nose or internally through the nasal cavity using endoscopic techniques. The lacrimal sac is carefully exposed by removing a small portion of the nasal bone.
The lacrimal sac, which collects tears from the eye, is opened and any obstructive tissue or stones are removed. The surgeon ensures the sac is healthy and viable for proper drainage connection.
A new opening is created between the lacrimal sac and the nasal cavity, bypassing the blocked nasolacrimal duct. This artificial passage allows tears to drain directly from the eye into the nose, restoring normal tear flow.
Silicone stents or tubes may be temporarily placed through the new pathway to keep it open during healing. The external incision, if made, is closed with fine sutures. Nasal packing may be placed to control bleeding and support healing.
A structured, patient-first approach from first consultation to full recovery.
At Harsha Sai Eye Hospital, Dr D Keerthi Kumar conducts thorough examination including lacrimal syringing, probing, and dacryocystography to confirm diagnosis and plan the most appropriate surgical approach. We discuss expectations, answer all questions, and ensure patients are fully prepared.
Our ophthalmologist utilizes both external and endoscopic endonasal approaches based on individual patient anatomy and condition severity. We employ precise microsurgical instruments and modern techniques to maximize success rates while minimizing tissue trauma and scarring.
Following surgery, we provide detailed instructions for wound care, medication usage, and activity restrictions. Regular follow-up appointments are scheduled to monitor healing, remove silicone stents at the appropriate time, and ensure the new drainage pathway remains patent.
Harsha Sai Eye Hospital ensures continued patient support through scheduled check-ups to assess tear drainage function and address any concerns. We provide guidance on recognizing signs of complications and maintaining optimal eye health for lasting surgical success.
What to expect at each stage of your recovery journey.
The first 3-5 days involve swelling, bruising around the eye and nose, mild discomfort, and nasal congestion. Patients use prescribed antibiotic and anti-inflammatory eye drops, oral antibiotics, and pain medication. Cold compresses help reduce swelling. Nasal packing is typically removed within 24-48 hours. Rest is essential with head elevation to minimize swelling.
Weeks 1-2 show gradual reduction in swelling and bruising. Patients can resume light daily activities but must avoid strenuous exercise, heavy lifting, and nose blowing. Regular saline nasal irrigation keeps the surgical site clean. Follow-up visits monitor healing progress and drain functionality. Most people return to desk work after 7-10 days.
Weeks 3-12 involve continued improvement in tear drainage with resolution of excessive tearing. The silicone stents are removed after 6-12 weeks once the new pathway is stable. Patients gradually return to all normal activities including exercise. Complete healing occurs over 3-6 months with final cosmetic results and optimal tear drainage function established.
The primary outcome is elimination of chronic epiphora (watery eyes) that previously interfered with daily activities, reading, and social interactions. Patients experience significantly improved quality of life with normal tear drainage function restored.
By establishing proper tear drainage, the surgery prevents recurrent dacryocystitis infections, chronic discharge, and the need for repeated antibiotic treatments. This reduces risk of more serious complications including orbital cellulitis or vision-threatening conditions.
Patients report relief from irritation, matting of eyelashes, crusting, and constant need to wipe tears. The eyes feel more comfortable throughout the day with normal moisture balance maintained through proper drainage.
With endoscopic approaches, there is no visible external scarring. Even with external dacryocystorhinostomy, the small incision along the side of the nose heals with minimal scarring that fades significantly over time, resulting in excellent cosmetic outcomes.
Let's clear up some of the most common myths about dacryocystorhinostomy (dcr).
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