Daniel Petkov and Proletina Bozdukova
ABSTRACT: The publication aims to acquaint medical professionals with the indications, contraindications and operative techniques for a successful darcryocystorhinostomy (DCR). DCR is among the common oculoplastics surgeries performed for managing epiphora due to nasolacrimal duct obstruction. It is a bypass procedure that creates an anastomosis between the lacrimal sac and the nasal cavity to ensure the direct drainage of tears. It may be performed through an external skin incision or intranasally as well as laser-assisted (L-DCR). The aim of new developments in the field of DCR is to shorten the procedure time, to shorten patient recovery time, to decrease complication rate and to avoid surgical skin and mucosal scars.
Keywords: darcryocystorhinostomy, nasolacrimal duct obstruction, chronic dacryocystitis, neonatal dacryocystitis, L-DCR