Tear Duct Occlusion Surgery DSR
Occlusion of the tear ductIt occurs when the lacrimal ducts and the fluid emitted by the lacrimal gland are absorbed and pass into the lacrimal sac and then flow into the nasal cavity through the tear duct. If there is a blockage in the tear duct for any reason, the tear accumulates in the eye and flows from the eyelids to the cheek. This situation leads to serious infections in the tear duct tracts, causing problems such as redness, pain, burring, redness and swelling in the eye. The symptoms of a clogged tear duct are the continuous outflow of tears, swelling in the sac, excessive watering, swelling at the nasal roots, inflammation of the eye with pressure on the nasal root, redness due to inflammation, and frequent burring in the eye. In addition, in the patient whose tear ducts are blocked, Occlusion may be congenital or occur as a result of trauma and nasal surgeries. First, the patient's eyes begin to water. Irrigation of the tear is the obstruction in the channels of the nasolacrimal in the sac that transmits to the nose. The surgeries performed to open this blockage are called DCR or dactriocystorhinostomy. The causes that cause watering of the eye can be listed as allergic or microbial reactions,
watering due to irritation as a result of dryness in the eye, redness, looseness of the eyelids, discharges due to the inward or outward turning of the eyelids, stenosis and congestion in the tear ducts. This disease, which can be seen at any age, is more common in newborn babies and postmenopausal women. Congenital to occur in newborn babies, Tear duct obstruction treatmentOn the other hand, it is a classical surgery performed with the open surgery method. However, with the new method that the developing technology has brought to medicine, endoscopes have also offered a new method as internal, that is, closed surgery. Since the skin sac is not applied in the treatment with this surgery, there are no surgical scars on the outer parts, the patient can go home in the evening of the day of the operation, and the pump function of the lacrimal sac is not damaged. In addition, the risk of bleeding is less, the patient experiences a faster recovery process, and all kinds of risks are much less, but the advantages are high. The success rate of both surgeries is quite high. Regardless of the method of surgery, the bone in the middle of the tear sac and the nasal membrane is removed and the sac connects the nasal cavity. Since this piece of bone removed has a very small mm, it does not create any potency on the face, and it is not even visible from the outside. Mild bruising and swelling may occur on the face after the operation. Sometimes pain may be felt. This situation can be alleviated with painkillers given by the specialist, and topical antibiotics are used for swelling and bruises. Stitches are removed after 1 – 2 weeks and the patient can continue his normal life.