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What to expect after external Dacryocystorhinostomy (DCR) surgery

After external DCR surgery, most people notice reduced watering once healing progresses, although early bruising and tenderness are common.

First days after surgery

You will usually have a small incision near the side of the nose and sometimes a fine tube in the tear duct. The eye and nose area may feel blocked, sore, and bruised.

  • Mild to moderate discomfort is common and managed with pain relief
  • There may be blood-stained tears or slight nasal bleeding
  • Swelling and bruising around the eye and cheek are expected
  • Use prescribed drops, ointment, and nasal sprays exactly as advised
  • Avoid blowing your nose forcefully in the early days

Improvement over the following weeks

As bruising settles, tearing usually lessens and comfort improves. The small scar typically fades with time.

  • Stitches are often removed after about one week if not dissolvable
  • The silicone tube, if present, may stay in place for several weeks or months
  • Most people feel social bruising reduces significantly over two weeks
  • Contact the clinic urgently if pain worsens or vision drops suddenly
  • Attend all follow-up visits to monitor healing and tube position

About Blue Fin Vision®

Blue Fin Vision® is a GMC-registered, consultant-led ophthalmology clinic with CQC-regulated facilities across London, Hertfordshire, and Essex. Patient outcomes are independently audited by the National Ophthalmology Database, confirming exceptionally low complication rates.