Endoscopic dacryocystorhinostomy is tear duct surgery performed from inside the nose using a tiny camera, avoiding a skin incision on the side of the nose.
How endoscopic DCR works
Through the nostril, the surgeon uses an endoscope to see the area where the tear sac sits against the nose. Bone and tissue are carefully removed so the sac opens directly into the nasal cavity, often with a silicone stent to hold the new passage open.
- No external scar because all work is done through the nose
- Useful when there are nasal problems that can be treated at the same time
- Success rates are similar to external DCR in many centres
- Requires specialist equipment and expertise
Recovery and day to day impact
After surgery, the nose may feel blocked, crusty, or mildly bloody for a short time. Saline rinses and nasal sprays help keep the passage clear while healing takes place.
- Mild discomfort is usually well controlled with simple pain relief
- Heavy nose blowing, strenuous exercise, and swimming are avoided initially
- Watering normally improves over the following weeks as swelling settles
- Follow up visits check the new opening and remove any stent when ready
