EPIPHORA ( i.e. EXCESSIVE TEARS FROM THE EYE) & EndoLaser DCR
The constant tears in the eye and from the excessive tears pus may also be present and the condition of the excessive tearing makes the life difficult. One has to clean the eye off and on and it becomes difficult to read or write and eyes has to be cleaned at every five to ten minutes interval . This is due to the blockage of the tear ducts. The tear glands are normally producing watery fluid and any excessive fluid is collected in the sac. The fluid from the sac is passed in the nose with the involuntary blinking action. Every time we blink a very tiny amount of fluid id passed through a duct in to the nose. When someone is sad and cries then excessiveformation fluid and this extra fluid is brought out as the tears. The blockage of the tear duct i.e. nasolacrimal duct stasis in the flow of tear fluid occurs and infected tears come out without any control.

SURGICAL Solution is by conventional DCR or Endoscopic DCR or Endolaser DCR.

The surgery for this condition has been routinely performed by Eyesurgeons . The conventional surgery entails the restoration of the blocked nasolacrimal duct. The procedure involves an incision on the face to expose the sac and the blocked duct. After removal of the blockage the wound is closed by applying sutures which are removed on the 5th day. Hence a scar is forms on the face.
Endolaser DCR
The operation of the excessive tearing can be performed without an external incision on the face. This has become possible with the latest endoscopic technique and the new generation of lasers.

Procedure
Dilatation of the lacrimal pathway is done by probing the upper and lower canaliculus to reach the sac.A thin diode laser fiber is introduced through the lower punctum and the aiming beam at the distal end of the laser fiber is identified within the nasal cavity through the video endoscope and the laser is then fired at the identified land markto make the fistula.
The opening thus made is further enlarged through the nose under the vision of the video endoscope. A bicanalicular silicon stent is introduced on the completion of the laser treatment, which remains in place for three months.

Advantages with the new method:

• There is no surgical scar
• It is bloodless procedure
• No dressing in the nose is required.
• Faster recovery

This method of treatment has been started in some centers in developed countries of the world. We have started this new method in year 20000 and by now have successfully performed over 500 surgeries.