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Procedure Name

Laser Dacryocystorhinostomy (LDCR)
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Surgery Type

Minimally Invasive
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Hospital Stay

Nil
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Duration of Surgery

30-60 Mins
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Type of Anaesthesia

General Anesthesia/Local Anesthesia
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Full Recovery

4-6 Weeks

Overview

Tear duct obstructions can lead to chronic tearing, infections, and discomfort. Traditionally, dacryocystorhinostomy (DCR) has been the go-to surgical procedure to treat this condition. However, advancements in medical technology have introduced Laser Dacryocystorhinostomy (LDCR), a minimally invasive alternative that offers improved precision, reduced recovery time, and better cosmetic outcomes. In this blog, we’ll explore what Laser DCR is, its benefits, the procedure itself, and why it might be the preferred treatment for tear duct obstructions.
 

What is Laser Dacryocystorhinostomy (LDCR)?

Laser Dacryocystorhinostomy (LDCR) is a minimally invasive surgical procedure used to treat nasolacrimal duct obstruction, a condition where the tear duct becomes blocked, leading to excessive tearing and recurrent eye infections. The procedure involves creating a new tear drainage pathway using a laser, which helps bypass the blocked duct and restores normal tear flow. Unlike traditional DCR, which requires an external incision, LDCR is performed endoscopically, reducing scarring and recovery time.

Benefits of Laser Dacryocystorhinostomy (LDCR)

LDCR is performed through the nasal passage, avoiding the need for external incisions and resulting in no visible scars.

Patients typically experience a faster recovery time compared to traditional DCR, with less postoperative discomfort and quicker return to normal activities.

The use of a laser allows for precise cutting and reduced risk of damage to surrounding tissues, leading to better outcomes.

With no external incisions, LDCR provides a better cosmetic result, particularly important for patients concerned about facial scarring.

LDCR has been shown to be highly effective in treating tear duct obstructions, with a success rate comparable to or even better than traditional DCR.

The Laser Dacryocystorhinostomy (LDCR) Procedure

  1. Preoperative Evaluation: Before the procedure, a comprehensive evaluation is conducted, including a detailed medical history, physical examination, and imaging studies such as a dacryocystography or nasal endoscopy to assess the obstruction.
  2. Anesthesia: LDCR is usually performed under local anesthesia with sedation, although general anesthesia may be used in some cases. The procedure typically takes 30 minutes to an hour.
  3. Endoscopic Access: A thin, flexible endoscope is inserted through the nasal passage to visualize the tear duct area. The endoscope allows the surgeon to navigate the nasal cavity and locate the obstruction.
  4. Laser Creation of the New Pathway: Once the obstruction is identified, a laser is used to create a new passage between the lacrimal sac and the nasal cavity, bypassing the blocked duct. The laser’s precision minimizes tissue trauma and bleeding.
  5. Stent Placement: In many cases, a small silicone stent is placed in the new passage to keep it open during the healing process. This stent is typically removed a few weeks after surgery.
  6. Post-Procedure: After the procedure, patients are usually observed for a short time before being discharged. Most patients can go home the same day.

Recovery and Postoperative Care

  1. Immediate Aftercare: Patients may experience mild discomfort, swelling, or nasal congestion following the procedure. Over-the-counter pain relievers and nasal saline sprays can help alleviate these symptoms.
  2. Activity Restrictions: Patients are advised to avoid strenuous activities, heavy lifting, and blowing the nose forcefully for at least a week to prevent complications.
  3. Follow-Up Visits: Regular follow-up visits are essential to monitor healing, ensure the new tear passage remains open, and remove the stent if one was placed.
  4. Long-Term Results: Most patients experience significant improvement in tear drainage and a reduction in symptoms such as excessive tearing and recurrent infections.

Potential Risks and Complications

As with any surgical procedure, there is a risk of infection, though this is rare and can be treated with antibiotics.

Minor bleeding may occur, especially during the first few days after surgery, but it usually resolves on its own.

If a stent is used, there is a small risk of displacement, which may require repositioning or removal by the surgeon.

In rare cases, scar tissue can form and cause the new tear passage to narrow, leading to recurrent obstruction.

Why Choose Medfin?

Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital in Bangalore and the finest doctor, for Laser dacryocystorhinostomy (LDCR) at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin! 

The power of Medfin in patient’s words

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“ Got to know about them from my friend. They got an appointment for only 299. Once the doctor confirmed that I needed the surgery they got me a fixed cost which included ALL the costs. No extra amounts were charged. Thank you Medfin”

Suresh Menon Hyderabad 8 days ago
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“ After my consultation with the doctor, MEDFIN representative got me a fixed package cost that included my mothers initial tests, surgery cost. They also gave me stockings free for Rs. 3000 post the surgery. They kept up their promise they made”

Radhika Iyer Mumbai 8 days ago
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“ Thank you Medfin. They ensured the whole process from selecting a very experienced doctor to offering the latest procedure at a very reasonable price. They also arranged a follow up post my surgery with the doctor to ensure my recovery was on track. Thank you for being there throughout”

Deepa Shree Bangalore 8 days ago
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