Treatment: Endoscopic or external dacryocystorhinostomy (DCR)2018-08-09T12:50:09+00:00

Endoscopic or external dacryocystorhinostomy (DCR)

  • Conditions Treated

    Watering eyes

  • Treatable Areas


  • Prices

    Contact the clinic for more information about prices.

  • Practitioner

    Oculoplastic Surgeon

  • Downtime

    Depends on method of operation

  • Your Specialist

Jane Olver

Consultant Ophthalmic Surgeon
Oculoplastic Eyelid & Lacrimal Specialist

More about specialist

Canalicular bypass surgery involves doing an endoscopic dacryocystorhinostomy followed by insertion of a Lester Jones pyrex glass bypass tube.

At Clinica London, our substatinal experience in endonasal surgery means we usually do this operation as a primary or secondary endonasal endoscopic assisted procedure. This method allows us to check the correct position of the tube inside the nose during the operation, and to change its position if needed. Furthermore, the endoscopic technique is always useful to treat nasal pathology that can go unnoticed if we “don’t look inside the nose” and is sometimes responsible of a surgical failure.

The operation is done under general anaesthesia as a day case usually.

The preparation of the patient is similar for patients undergoing a DCR. The tube is fixed with a fine suture, which should not be removed as it will become safely buried.

After the operation the patient takes home topical treatment consisting in eye drops and nasal sprays to use several times a day during the first few weeks. Usually the Jones tube gives immediate relief from watering as it drains from the first day.

Acute dacryocystitis is treated using two methods:

  1. Treat the infection first with a course of antibiotics for up to one week, then treat the nasolacrimal duct obstruction. The definitive treatment is the dacryocystorhinostomy (DCR)
  2. Immediate endoscopic DCR can be done to treat both the infection and the nasolacrimal duct obstruction at the same time.

The oculoplastic surgeon will advise about the best option depending on the case. At Clinica London we carry out drainage of abscess by endoscopic endonasal DCR to relieve acute dacryocystitis.s48teardrain

Talk to us about your options on 020 7935 7990

The best way to figure out whether this is something for you is to give us a call. We can answer any questions you have and help you clarify which treatment options are best for you.

Book a consultation

“Dr. Jane Olver was fantastic! She was so caring and sweet and it was clear that she knew what she was doing – very professional! I am absolutely over the moon with my results now!”

Toni C.

“Jane Olver is your woman – I wish I had found her at the start. I will be forever grateful for her care and expertise.”

Nancy W.

“Just wanted to thank you for your exceptional assistance with my eye condition. I was so worried but you really helped me feel at ease.”

David T.

“I felt much better after speaking to you and being reassured. I am much calmer and actually got some sleep last night.”

Catherine M.
“I was deeply impressed by the politeness and empathy shown to me. I found the surgery very peaceful and beautifully decorated and I hope to see Jane again soon.”
Jeffrey W.
“I highly recommend Jane Olver. The whole experience was calm and highly professional.”
Lorraine M.
“I am writing to you to say thank you to you, Cloe and Jane for taking care of me this week. You were all really lovely and professional and I am very grateful. Big cheer for The Clinica London Team.”
Rick A.
“Many thanks for taking care of my ptosis surgery today. I am now back home and resting but wanted to send a quick note to thank you for taking such good care of me.”

“The treatment was a great success; within 24 hours of starting the treatment the pain and swelling subsided and as a result, I was able to enjoy a great holiday in Argentina.”
“Thank you, my eye is recovering brilliantly (you almost can’t see I had it). Jane was amazing, please pass on a huge thank you.”

The Highest Quality

We are accredited with the major private health and professional specialty bodies who have bestowed upon us the qualifications to carry out aesthetic and medical treatments at the highest levels of quality.

Frequently Asked Questions

The surgery is performed under a general anaesthesia.

The surgery lasts around 45 minutes.

Right away you should begin to see results.

Results should last forever.