Doctor insights on:
DCR: This is a procedure to replace a blocked tear outflow tract (into the nose) by creating a window from the eye (lacrimal) canals into the nose which bypasses the obstructed system. It is used in cases in which the normal tear flow needs re-establishment as the tears would otherwise overflow onto the cheek. It is done by oculoplastic surgeons, an ophthalmic subspecialty. ...Read more
Tear canal blockage: This is the procedure to substitute for the natural drainage of tears from eye to nose which can be obstructed sometimes spontaneously or by trauma. An artificial canal is created and the tears can then drain properly. It is usually performed by oculoplastic surgeons. ...Read more
Mostly failure: Dacryocystorhinostomy is a procedure to replace a blocked tear drainage from the eyes to the nose. The most common problem is failure, that is blockage of the new drainage canal surgically constructed. Other problems are usually short term and can be treated in the post surgical recovery period. ...Read more
Endoscopic: Endoscopic is less traumatizing with faster recovery time. It is trickier and requires more perfect anatomy to get good results. External exposes all the anatomy and can take care of things such as traumatic blockage better. Ask your oculoplastic surgeon which is best for your conditiion. ...Read more
In an elderly person who excessively tears up, is dacryocystorhinostomy necessary before cataract removal procedure?
Rarely: This operation is rarely needed in elderly people. ...Read more
She won't operate to remove her cataracts unless she has dacryocystorhinostomy done with another doctor. Is ther totally necessary?
Depends: Good vision after cataract surgery is depends, in part, on a good quality tear film. If a patient has chronic tearing or infections of the nasolacrimal duct requiring a DCR, then often it is best to do the DCR first to give the patient the best chance of good quality vision after cataract surgery. ...Read moreSee 1 more doctor answer
Am I dying?
We all are: A 3-word question with no details... well, life is short on Earth, regardless of whether a person lives 3 days, 3000 days, or 30,000 days. It is not length of one's life that matters, but the quality of the life lived. The goal is not to live a long life, but to live a good life. Even if a person makes it all the way to age 82, that's only 30,000 days. ...Read more