Eye For God
Bert Bowden, MD
Cosmetic and Reconstructive Eye Surgery

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Before and After Gallery
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Dacryocystorhinostomy (DCR)

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.


3 months Post-operation



5 months Post-operation


image 1    image 2    image 3    image 4    image 5

To learn more about these procedures click here