DCR

Opening the tear duct

1. Basic description of the disease

DCR (Dacryocystorhinostomy) is a surgery used to treat chronic tear duct obstruction. This condition may cause excessive tearing, inflammation (dacryocystitis), and infection. The surgery creates a new pathway between the tear sac and the nose for proper tear drainage.

 

2. Nursing and medical measures

Evaluation by ophthalmologist ± ENT consultation

CT scan or dacryocystography to assess blockage

Tear flow test before surgery

Local or general anesthesia as required

Pain management with appropriate medications

Wound care and nasal hygiene post-op

Patient education on nasal rinsing and infection prevention

 

3. Duration of hospitalization

Usually outpatient (same-day discharge(

Overnight stay may be needed in complex cases

 

4. How to accept

Referral from ophthalmologist

Hospital registration and anesthesia evaluation

Consent form signed by patient

Pre-op tests as required

 

5. Post-discharge interventions

Use nasal spray or rinse as prescribed

Avoid forceful nose blowing or sudden bending

Take antibiotics and painkillers as directed

Protect surgical area from trauma

Seek medical help if bleeding, fever, or severe pain occurs

 

6. When to see the doctor again

First follow-up 5–7 days post-op

Silicone tube removal (if placed) in a few weeks

Re-evaluation if symptoms return