Primary External Dacryocystorhinostomy

  • Mohammad Javed Ali


Dacryocystorhinostomy or DCR is among the common oculoplastic surgeries performed for managing epiphora due to nasolacrimal duct obstruction [1, 2]. It is a bypass procedure that creates an anastomosis between the lacrimal sac and the nasal mucosa via a bony ostium. It may be performed through an external skin incision or intranasally with or without endoscopic visualization. This chapter will discuss the indications, goals, and simple techniques for a successful outcome of DCR.


Nasal Mucosa Nasolacrimal Duct Medial Canthus Nasolacrimal Duct Obstruction Facial Scar 
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  1. 1.
    Tarbet KJ, Custer PL. External dacryocystorhinostomy. Surgical success, patient satisfaction and economic costs. Ophthalmology. 1995;102:1065–70.PubMedCrossRefGoogle Scholar
  2. 2.
    Welham RA, Henderson PH. Results of dacryocystorhinostomy. Analysis of causes for failures. Trans Ophthalmol Soc U K. 1973;93:601–9.PubMedGoogle Scholar
  3. 3.
    Linberg JV, McCormick SA. Primary acquired nasolacrimal duct obstruction: a clinico-pathological report. Ophthalmology. 1986;93:1055–62.PubMedCrossRefGoogle Scholar
  4. 4.
    Bartley GB. Acquired lacrimal drainage obstructions: an etiologic classification system, case reports and review of literature. Ophthal Plast Reconstr Surg. 1992;8:237–49.PubMedCrossRefGoogle Scholar
  5. 5.
    Olver J. External dacryocystorhinostomy. In: Colour atlas of lacrimal surgery. 1st ed. Oxford: Butterworth-Hienemann; 2006.Google Scholar
  6. 6.
    Baldeschi L, Macandie K, Hintschich CR. The length of unsutured mucosal margins in external dacryocystorhinostomy. Am J Ophthalmol. 2004;138:840–4.PubMedCrossRefGoogle Scholar
  7. 7.
    Turkcu FM, Oner V, Tas M, Alakus F, Iscan Y. Anastomosis of both posterior and anterior flaps or only anterior flaps in external dacryocystorhinostomy. Orbit. 2012;31:383–5.PubMedCrossRefGoogle Scholar
  8. 8.
    McNab A. Dacryocystorhinostomy. In: Manual of orbital and lacrimal surgery. 2nd ed. Oxford: Butterworth-Hienemann; 1998.Google Scholar
  9. 9.
    Rosen N, Sharir M, Moverman DC, Rosner M. Dacryocystorhinostomy with silicone tubes: evaluation of 253 cases. Ophthalmic Surg. 1989;20:115–9.PubMedGoogle Scholar
  10. 10.
    Dresner SC, Klussman KG, Meyer DR. Outpatient dacryocystorhinostomy. Ophthalmic Surg. 1991;22:222–4.PubMedGoogle Scholar
  11. 11.
    Emmerich KH, Busse H, Meyer-Rusenberg HW. Dacryocystorhinostomia externa. Ophthalmologe. 1994;91:395–8.PubMedGoogle Scholar
  12. 12.
    Cokkeser Y, Evereklioglu C, Er H. Comparative external versus endonasal dacryocystorhinostomy: results in 115 patients. Otolaryngol Head Neck Surg. 2000;123:488–91.PubMedCrossRefGoogle Scholar
  13. 13.
    Malhotra R, Wright M, Olver JM. A consideration of the time taken to do dacryocystorhinostomy surgery. Eye (Lond). 2003;17:691–6.CrossRefGoogle Scholar
  14. 14.
    Dolman PJ. Comparison of external dacryocystorhinostomy with non-laser endonasal dacryocystorhinostomy. Ophthalmology. 2003;110:78–84.PubMedCrossRefGoogle Scholar
  15. 15.
    Hartikainen J, Grenman R, Puukka P, Seppa H. Prospective randomized comparison of external dacryocystorhinostomy and endonasal laser dacryocystorhinostomy. Ophthalmology. 1998;105:1106–13.PubMedCrossRefGoogle Scholar

Copyright information

© Springer India 2015

Authors and Affiliations

  1. 1.Dacryology ServiceL.V. Prasad Eye InstituteBanjara Hills, HyderabadIndia

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