What is an Endoscopic Dacryocystorhinostomy or DCR Surgery?
Endoscopic DCR Surgery in dubai (UAE) for children with best Endoscopic DCR Surgery Surgeons. If you are looking for best Endoscopic DCR Surgery doctor in dubai then Dr Muddazir is the best Endoscopic DCR Surgeon for your health.
DCR Surgery involves elimination of any fluid as well as mucus within the lacrimal sac, and to enhance tear drainage for ease of Epiphora. The procedure of the DCR includes abolition of bone located adjacent to nasolacrimal sac and introducing the lacrimal sac with the lateral nasal mucosa to detour the obstruction of nasolacrimal duct. This results into direct drainage of tears from the canaliculi into the nasal cavity vide a novel pathway which has resistance.
This is a surgery performed to rectify blocked or narrowed tear drainage tubes( Nasolacrimal duct); these tubes start from the inner corner of your eye and go into the nose through the tear sac. This operation creates a new passage between the tear sac and the nose – akin to a bypass.
Any blockage below the tear sac will not hinder the normal flow and drain of tears. It is often performed by an eye specialist and an ENT surgeon together. It is a minimally invasive surgery, as a long thin tube with a lens and instruments attached at the end, is used, and no cuts are made on the face.
Why would you need an Endoscopic DCR Surgery?
If you have been suffering from the following symptoms:
- Watery eye
- Continuous sticky discharge from your eye
- Pain and swelling in the inside corner of your eye
- Blurred vision
- Crust formation on the eye
- Irritated, red appearance of the eye
- Repeated eye infections like conjunctivitis
- A lump growing between your eye and nose because of a painfully infected tear sac
It would mean that you have a blocked tear drain; the blockage may be partial or complete. A blocked tear drainage system could be due to repeated eye infections, trauma or injury to the area, foreign particles entering your eye, or even nasal polyps.
Your Family doctor would have referred you to an eye specialist who would recommend you to book a consultation with us. If you go to an eye specialist first, they would also refer you to us.
Diagnosis
When you come in for a consultation after being referred by your eye specialist, we will conduct a few tests to make a positive diagnosis:
- Tear drainage test – to check how quickly your tears drain. We place a drop of special dye on your eye surface – if after five minutes, most of the dye is still on your eye surface, you could have a blocked tear duct.
- Irrigation and Probing – involves flushing a saline solution through your tear drainage system to check the efficiency of the graining. Another thing we may try is inserting a probe through the tiny drainage holes at the corner of your eyelid to see if it is blocked.
- Eye Imaging Tests – involves passing a contrast dye from the drainage holes through the tear drainage system; after this, X-Rays, CT scan or MRIs may be used to identify the reason and location of the blockage.
After we have a confirmed diagnosis, we may recommend medication, massage, or other treatment options, which will be thoroughly discussed with you. We may either suggest surgery right away, or a wait and watch approach; if medication, massage, dilation, or stenting do not have the desired effect, then surgery could be your best option.
How is the Surgery Performed?
An endoscope is introduced into your nose, and the nasolacrimal duct (NLD) is exposed by removing the bony encasement and open up the NLD upto the site of block and clear all disease and marsupializing the NLD to prevent recurrence
The surgery will take around 45 to 120 minutes, and you will be asleep – administered a general anesthetic, and will not know anything at all. There are NO VISIBLE SCARS OR SUTURES in this surgery unlike in the open approach
Surgical Follow Up
After the surgery, the patient is instructed to take rest for at least one week. Lifting heavy things, arduous activities and exercises should be avoided as these can induce bleeding. Hot drinks may induce epistaxis thus should not be taken after surgery. Also, nose blowing should be avoided in order to prohibit haemorrhage. After one week, skin sutures are removed in case non-absorbable sutures were used. After 4-8 weeks, silicone tube is removed.
If you too are searching for endoscopic DCR surgery in Dubai, then the expert possessing the most advanced technology and years of experience, Dr. Muddazir must be contacted in order to get it done effectually. Endoscopic DCR Surgery Cost in UAE are overpriced, but Dr. Muddazir is the only ENT Specialist in Dubai who proffers the most competitive prices.
FAQs
- Can I avoid surgery?
- If you are not keen on surgery, we can try different methods to rectify this problem at first. However, if those methods don’t repair the blockage of your tear duct, you may need to undergo an endoscopic DCR.
- Is the procedure safe?
- Any surgical procedure carries a certain amount of risk – but rest assured that we are a highly skilled and experienced team of ENT surgeon and ophthalmologist (Eye surgeon )with a high success rate, and take the utmost precautions to ensure you don’t have any problems.
- Will an endoscopic DCR surgery fix my problem for good?
- We are happy to tell you that the success rate with these surgeries is over 90%.
- Can I go home on the same day of the surgery?
- We usually recommend that you stay overnight at the hospital and remain under our care and supervision.
- What precautions do I have to take after the surgery?
- We recommend:
- It’s advisable that you rest for two weeks after the surgery – take time off from work
- Do not blow your nose during this period
- Do not rub your eye
- Wash any stickiness from your eye gently with sterile cotton wool and water that’s boiled and cooled
- Use nasal sprays or antibiotic drops that are given to you, as instructed at discharge.
Surgical video showing the opening of a blocked Nasolacrimal Duct (NLD) and gushing of pus
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