Before and After Gallery
Select an image at bottom of page to view larger Before and After Images.
A dacryocystorhinostomy is required when there
is a difficulty with the tear drainage system. The tear drainage system
normally carries the tears from the eye to the nose. An obstruction in
this can result in problems.
In nature, when a river flows freely, the river is healthy, the fish are
healthy, and the water is clean. When it is blocked a "stagnant
pond" can result. In the eye, this "stagnant pond" tends
to accumulate debris and bacteria and is a constant or potential source
of pus and other material. Fixing this involves a restoration of flow by
means of a bypass surgery to bypass the blockage and restore free flow
into the nose.
Dacryocystorhinostomy is actually this bypass
surgery to eliminate a portion of the nasolacrimal system that is
diseased. If there is obstruction in the nasolacrimal system, this may be
used to directly connect the tear drains into the nose. This is done by
removing a small portion of the bone on the side of the nose and placing
a small stent in the tear drains to allow drainage into the nose.
Occasionally, there is actually a blockage of the tubes leading into the
nose, and in this case, a double bypass is required. This is called a conjunctivodacryocystorhinostomy (CDCR). In this
case, a small glass tube is placed from the corner of the eye directly
into the nose and the two are connected by this to drain the tears. The
tear drainage system now has no function.
This is one of the most common tearing procedures that Dr. Bowden
performs, and he will discuss this option with you if it is necessary.
Below are some pictures of people who have had this procedure. You can
see that the incision heals very well and is minimally visible.