Lacrimal

Dacryocystorhinostomy or DCR is one of the most common oculoplasty surgery performed. It is a bypassprocedure that creates an ansatomosis between lacrimal sac and nasal mucosa via bony osteum.

External Dacryocystorhinostomy still enjoys the golden seat in management of acquired Nasolacrimal duct Obstruction even after 110 years of its concept.

Endoscopic Endonasal DCR (En-DCR) has for long been the domain of ENT surgeons. Recent advancements and renements in techniques and instrumentation in En-DCRs have improved its success rates to rival those of external DCR.

Epiphora is a fairly common problem & its symptoms can be extremely distressing at one end while at other end it can be root cause of devastating complications like endophthalmitis and orbital cellulitis, unfortunately epiphora management lacks clarity and is left to rhinologist by most ophthalmologists in modern era.