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Oman J Ophthalmol. 2012 Sep;5(3):191-5. doi: 10.4103/0974-620X.106106.

External dacryocystorhinostomy: Tips and tricks.

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Ophthalmic Plastics Service, L.V. Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.


Dacryocystorhinostomy or DCR is one of the most common oculoplastics surgery performed. It is a bypass procedure that creates an anastomosis between the lacrimal sac and the nasal mucosa via a bony ostium. It may be performed through an external skin incision or intranasally with or without endoscopic visualization. This article will discuss the indications, goals, and simple techniques for a successful outcome of an external DCR.


Congenital nasolacrimal duct obstruction; dacryocystorhinostomy; primary acquired nasolacrimal duct obstruction; secondary acquired lacrimal duct obstruction

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