DCR dacryocystorhinostomy is still the operation done by most of the ophthalmologists. For chronic dacryocystitis, although many new modalities of surgical procedures have come up. For chronic dacryocystitis, the difficulties faced during DCR are as follows While giving a local injection of perdent xylocaine in the paralacrimal region make sure. We do not inject the xylocaine in angular.
When after giving a paralacimal incision one may find difficult in identification of medial palpebral ligament which is attached to ant lacrimal crestlot of bleeding may be encountered so we may while rahing the lacrimaimes encounter ethmoid air cells after exposing the lacrimal mucosa once. We make flaps in the nasal mucosa lot of bleeding may be encountered. We may have to use mucous catheter constantly then. Once we stitch the incision sometimes we may experience a bad scar so to avoid all new…
