Frequently Asked Questions
What is Endoscopic DCR?
Endoscopic or Endonasal Dacryocystorhinostomy (DCR) is the surgical procedure performed to treat Epiphora. Epiphora can be caused due to mechanical obstruction of the lacrimal(tear) duct and can also occur due to the failure of the lacrimal(tear) pump. Improper drainage or the obstruction of the tear ducts of an individual is termed as Epiphora.
What are the signs and symptoms of Nasolacrimal Duct Obstruction?
- Constant or persistent tearing of the eyes
- Watery eyes
- Crusting or mattering of eyelashes in the morning
- Bloody tears or blurred vision
- Infection and swelling in the corner of the eye (Dacryocystists)
What are the indications of Endoscopic DCR?
Endoscopic DCR is indicated in the following conditions:
- Primary nasolacrimal duct obstruction(NLDO)
- Nasolacrimal duct obstruction due to facial trauma, injury, previous
Who are the best surgeons to perform Endoscopic DCR?
A certified and trained Opthalmology Surgeon or an Otorhinolaryngology (ENT) Surgeon who is well experienced in performing Endoscopic DCR Surgery can perform this surgery.
What is the cost of Endoscopic DCR?
Minimum cost for Endoscopic DCR in Bangalore starts from Rs.1,60,000
Average expenses for Endoscopic DCR in Bangalore is approximately Rs.2,90,000
Maximum amount to be paid for Endoscopic DCR in Bangalore rises up to Rs.4,20,000
Cost of Endoscopic DCR depends on factors such as:
- Admission charges
- Consultation fee
- Patient age
- Type of hospital
Is Endoscopic DCR a major surgery or minor surgery?
Endoscopic DCR can be either major or minor surgery depending on the patient's medical condition and the area to be treated.
What are the risks and complications associated with Endoscopic DCR?
Few of the risks and complications that can occur during or after Endoscopic DCR Surgery are:
- Excessive bleeding or hemorrhage
- Leakage of the cerebrospinal fluid
- Damage to the surrounding bones or tissues like canaliculi or the orbital contents from the surgical instruments
- Inadequate drainage or the improper opening of the lacrimal sac diverticulum
How long does it take to complete Endoscopic DCR?
The entire surgery of Endoscopic DCR may take around 1-3 hours to complete.
What is the recovery time for Endoscopic DCR?
Individuals who undergo Endoscopic DCR may take 4-6 weeks to recover completely.
What is the success rate of Endoscopic DCR?
The success rate of Endoscopic DCR depends on the following factors:
- Patient age and medical condition
- Experience of the surgeon
However, the success rate of Endoscopic DCR maybe 90%
Is Endoscopic DCR Permanent?
Endoscopic DCR is a permanent surgery and in rare cases revision surgery may be required to treat the obstruction completely.
What are the long-term results of Endoscopic DCR?
Few of the long term results of Endoscopic DCR are:
- Symptomatic relief from the obstruction of the tear ducts
- Improved lacrimal drainage
- Decreased occurrence of the infections and swelling in the endonasal passages
- Improved vision
- Better quality of life of the patient
Can Endoscopic DCR be detected in the future?
Endoscopic DCR may or may not be detected in the future as the inserted endoscopic surgical instruments will be removed after the surgery.
What are the options if Endoscopic DCR fails?
In case of a failed Endoscopic DCR Surgery, the doctor may suggest an open surgery or a revision surgery.
What are the alternatives for Endoscopic DCR?
Few of the alternatives of Endoscopic DCR are:
- Lacrimal duct probing
- Silicone tube nasolacrimal intubation
- Nasolacrimal balloon dilation
- External dacryocystorhinostomy (DCR)