Surgery of the tearing (lacrymation) problem by dacryocystorhinostomy

When properly chosen, cases of tearing from chronic dacrycystitis could be helped by this anastomising procedure (DCR) with a relative guarantee of success provided a big bony window is made with sac extirpation in addition to the flap. The procedure is not a highly technical one. In the absence of an Illiff trephine which is suitable for this operation, a good size bony window can still be made with the use of a 3/8 curve gauge and rongeour. Patients cooperation is very important and we use to tell them that the operation is very insignificant compared to the follow up which may spell the success or failure of the operation. (Conclusion)