Aesthetic External DCR: The Transconjunctival Approach



Primary and secondary nasolacrimal duct obstructions are quite frequently encountered in ophthalmology practice. The traditional surgical approach for managing nasolacrimal duct obstruction (NLDO) is an external dacryocystorhinostomy (Ex-DCR), first described by Toti in 1904 [1]. He gained access to the sac and nasal cavity via a skin incision in the medial canthal region. Dupuy-Dutemps and Bourget later described an Ex-DCR technique where mucosal anastomosis was achieved with suturing of the nasal and saccal flaps [2]. External DCR is still performed in a similar way with minor alterations and high success rates of over 90 % [3–9]. However, external DCR leaves a scar in the medial canthal area.


Nasolacrimal Duct Obstruction Ethmoidal Cell Facial Scar Transconjunctival Approach Traditional Surgical Approach 


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Copyright information

© Springer India 2015

Authors and Affiliations

  1. 1.Ophthalmic Plastics SurgeryBeyoglu Eye Research and Training HospitalIstanbulTurkey

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