Chronic dacryocystitis is a common ocular disorder faced by every ophthalmologist. If we think of what is the best possible surgical procedure for this disorder. The answer is rather a difficult lot of surgical procedures have been tried in this disorder but no procedure has been 100 percent.

I feel before doing this disorder it is important to investigate the patient, most important thing s always do a complete ent examination in every case of ch dacryocystitis one should be very sure that patient does not have DNS nasal poly or hypertrophied turbinated if these lesions are present they should be treated by ent specialist before one goes for sac surgery. If one has a fibrosed sacp, may not be fit for d cr if one has atrophic rhinitis. It is a contraindication for dcr although new procedures like endoscopic dcr, laser-assisted endoscopically, dcr mitomycin assisted endoscopic dcr and…