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Cornea, Squint & Oculoplasty

DCR Eye Surgery

Persistent watering or swelling near the inner corner of the eye can mean a blocked tear duct. DCR creates a new drainage path for tears.

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When the tear drainage system is blocked, tears overflow and the tear sac can become infected. Dacryocystorhinostomy (DCR) is the standard surgical solution for many adults with nasolacrimal duct obstruction.

What is DCR surgery?

Dacryocystorhinostomy (DCR) is an operation that creates a new opening between the tear sac and the inside of the nose, bypassing a blocked nasolacrimal duct. This allows tears to drain normally again. It may be performed through a small skin incision (external DCR) or through the nose (endoscopic DCR), depending on the case.

Symptoms & signs

  • Constant watering of the eye
  • Sticky discharge
  • Painful swelling at the inner corner of the eye
  • Recurrent eye infections

Causes & risk factors

  • Age-related narrowing of the tear duct
  • Chronic sinus or nasal disease
  • Facial injury
  • Recurrent infection (dacryocystitis)

Who needs this treatment?

  • Adults with confirmed nasolacrimal duct obstruction
  • Patients with recurrent dacryocystitis

How it is diagnosed

  • Lacrimal syringing to test patency
  • Examination of eyelids and puncta
  • Nasal assessment where needed
  • Imaging in selected cases

Treatment options

Treatment of acute infection

Antibiotics before surgery.

External DCR

Through a small skin incision near the nose.

Endoscopic DCR

Through the nasal passage without a skin incision (as available).

Procedure / what to expect

  1. EvaluationSyringing confirms the blockage.
  2. SurgeryA new passage is created between tear sac and nose.
  3. Stent (if used)A thin tube may be placed temporarily.
  4. ReviewStitches and stent removed at follow-up as needed.

Have questions about DCR Eye Surgery?

Talk to our eye care team — we'll guide you to the right next step.

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Benefits

  • Relieves watering and discharge
  • Reduces recurrent infections
  • Day-care procedure for many patients

Technology used

  • Lacrimal probing and syringing set
  • Operating microscope / endoscope (as available)

Specific equipment models: to be confirmed by the hospital

Recovery

  • Mild swelling and nasal stuffiness settle within days
  • Avoid blowing the nose forcefully initially
  • Use drops and nasal sprays as advised

Precautions

  • Report bleeding from the nose or increasing swelling
  • Do not lift heavy weights in the first days
Every eye is different. Results vary between individuals, and no treatment outcome can be guaranteed. Your ophthalmologist will discuss the expected benefits and risks for your specific condition.

Frequently asked questions

External DCR uses a small incision that usually heals well. Endoscopic DCR avoids a skin incision.

Infants with blocked tear ducts are usually managed differently — see Nasolacrimal Duct Obstruction.

Why choose Jawahar Eye Hospital?

  • Specialist-led diagnosis and treatment planning
  • Modern diagnostics and surgical systems
  • Clear explanation of options, risks and costs
  • Day-care procedures wherever appropriate
  • Structured follow-up after treatment
  • Convenient location on Delhi Road, Meerut
Your specialists

Doctors for DCR care

Dr. Umang Varma, Cataract & Refractive Surgery at Jawahar Eye HospitalCataract & Refractive Surgery

Dr. Umang Varma

Chairman, Medical Director & Senior Phaco-Refractive Surgeon
  • MBBS, MS (Ophthalmology) (verify)
  • Experience: XX+ years

Dr. Umang Varma leads Jawahar Eye Hospital and focuses on comprehensive eye care, including cataract surgery, refractive surgery (i-LASIK, PRK, laser vision correction,…

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Dr. Rajeev Jain, Cataract, Glaucoma & Squint at Jawahar Eye HospitalCataract, Glaucoma & Squint

Dr. Rajeev Jain

Senior Ophthalmologist
  • MBBS, MS (Ophthalmology) (verify)
  • Experience: XX+ years

Dr. Rajeev Jain is a senior ophthalmologist at Jawahar Eye Hospital who specialises in cataract, glaucoma and squint, and in the medical and surgical treatment…

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