Dacryocystorhinostomy

Careful preoperative evaluation and observance of indications for dacryocystorhinostomy (DCR) result in the appropriate use of this procedure. The surgeon should have a sound knowledge of the anatomy of the lacrimal drainage system and nose before proceeding with a DCR, which may be done under local or general anesthesia. A method of performing a DCR is described in detail, with postoperative management and treatment of possible postoperative complications discussed.