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What is Endoscopic Dacryocystorhinostomy?

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Endoscopic dacryocystorhinostomy (DCR) is an advanced, minimally invasive tear duct surgery that offers effective relief for those suffering from a blocked tear duct. At Blue Fin Vision® Eye Clinic, with locations in London, Chelmsford, and Hatfield, we specialise in delivering this modern approach, combining clinical expertise with the latest technology to restore your eye comfort and health.

Understanding Tear Duct Blockages

Tears are essential for maintaining eye health, keeping the surface of the eye lubricated and free from irritants. Normally, tears drain from the eye through small openings called puncta, passing into the tear ducts and then into the nose. When this drainage pathway becomes blocked, tears cannot flow away properly, leading to:

  • Constant watery eyes (epiphora)
  • Recurrent eye infections
  • Sticky discharge at the inner corner of the eye
  • Swelling or tenderness near the nose

A blocked tear duct can result from age-related narrowing, chronic sinus or nasal conditions, previous facial trauma, or inflammation. Left untreated, this condition can significantly impact your daily life and wellbeing.

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What is Endoscopic Dacryocystorhinostomy (DCR)?

Endoscopic dacryocystorhinostomy is a surgical procedure that creates a new pathway for tears to drain from the lacrimal sac (tear sac) directly into the nasal cavity, bypassing the blocked section of the tear duct. Unlike traditional external DCR, the endoscopic approach is performed entirely through the nostril using a thin endoscope, eliminating the need for any external incision or visible scar.

How Endoscopic DCR Works

  • A small endoscope (surgical camera) is inserted through the nostril to visualise the area inside the nose.
  • Specialised microsurgical instruments are used to create a new opening between the tear sac and the nasal cavity.
  • A soft silicone stent may be placed temporarily to keep the new passage open during healing.
  • The procedure is typically performed under local or general anaesthesia, ensuring comfort throughout.

This minimally invasive technique allows for precise surgery with less disruption to surrounding tissues, leading to a faster recovery and excellent cosmetic results.

When is Endoscopic Dacryocystorhinostomy Needed?

Endoscopic DCR is recommended when a blocked tear duct does not respond to conservative treatments such as massage, antibiotics, or minor procedures. It is especially suitable for:

  • Adults with persistent tear duct blockages
  • Patients who wish to avoid facial scars
  • Individuals with chronic or recurrent tear sac infections (dacryocystitis)
  • Cases where previous tear duct surgery has not been successful
  • Patients with nasal or sinus conditions that contribute to tear duct obstruction

Your Blue Fin Vision® specialist will assess your unique situation and advise if endoscopic DCR is the best option for you.

Success Rates and Cosmetic Advantages

Choosing endoscopic dacryocystorhinostomy offers significant advantages:

  • No external scar: The entire procedure is performed through the nostril, leaving no visible mark on the face.
  • Minimally invasive: Less tissue disruption means reduced swelling, bruising, and discomfort.
  • Quick recovery: Many patients return to normal activities sooner than with traditional surgery.
  • Direct access: The endoscopic approach allows your surgeon to address both the tear duct blockage and any underlying nasal issues simultaneously.
  • High success rate: Endoscopic DCR is highly effective in restoring normal tear drainage and relieving symptoms.
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The Patient Journey at Blue Fin Vision®

Before Surgery

Your journey begins with a comprehensive consultation at our eye clinic in London, Chelmsford, or Hatfield. During this visit, your specialist will:

  • Take a detailed history of your symptoms
  • Perform a thorough examination and imaging to pinpoint the site of the blockage
  • Discuss your treatment options and answer any questions

During Surgery

  • The procedure usually takes around 45–90 minutes.
  • You will receive local or general anaesthesia for maximum comfort.
  • The surgical team uses state-of-the-art endoscopic equipment to ensure precision and safety.

After Surgery

  • Most patients return home the same day.
  • You may experience mild nasal congestion or discomfort, which typically resolves within a week.
  • Antibiotic drops and nasal sprays may be prescribed to support healing and prevent infection.
  • If a silicone stent is used, it is usually removed after several weeks in a simple outpatient visit.
  • Follow-up appointments are arranged to monitor your recovery and ensure the best possible outcome.

Why Choose Blue Fin Vision® for Endoscopic DCR?

Specialist Expertise

Our oculoplastic surgeons are highly trained in all forms of tear duct surgery, including endoscopic dacryocystorhinostomy. We are committed to delivering the highest standards of care, using advanced technology and refined techniques.

Personalised, Compassionate Care

We understand that every patient’s needs are unique. From your first consultation to your final follow-up, you will receive individualised attention, clear communication, and ongoing support.

Modern, Convenient Locations

Blue Fin Vision® offers endoscopic DCR at our leading eye clinics in:

  • Harley Street, London
  • Weymouth Street, London
  • Chelmsford, Essex
  • Hatfield, Hertfordshire

This ensures you have access to expert care wherever you are based in the region.

Seamless Patient Experience

We provide a streamlined, reassuring experience at every stage, from prompt appointments to attentive aftercare. Our team is always available to answer your questions and address any concerns.

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FAQs

No, the procedure is performed entirely through the nostril, so there are no external scars.

Many patients notice a reduction in watery eyes within days of surgery, with full benefits seen as healing progresses.

As with any surgery, there are potential risks such as infection, bleeding, or recurrence of blockage. Your surgeon will discuss these with you and explain how risks are minimised.

Your suitability will be assessed during your consultation. While endoscopic DCR is ideal for many adults with blocked tear ducts, your surgeon will recommend the best approach for your specific case.

Take the Next Step with Blue Fin Vision®

If you are experiencing the discomfort and inconvenience of a blocked tear duct, endoscopic dacryocystorhinostomy at Blue Fin Vision® Eye Clinic offers a modern, effective solution. Our team combines clinical excellence with genuine care, ensuring you feel confident and supported throughout your treatment.

Book your consultation today at our London, Chelmsford, or Hatfield clinics and take the first step towards clear, comfortable eyes. Trust your vision to Blue Fin Vision® – where expertise meets compassion.

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