Skip to Main Content

Dacryocystorhinostomy (DCR)

Appointments

Request an appointment online or
call us. 305-243-3564

An endoscopic dacryocystorhinostomy (DCR) is a surgical procedure that is done to create an alternative tear drainage between your eyes and nose. Prior to doing it endoscopically, the procedure was done through an incision in the face adjacent to the upper part of the nose. However, today it can be performed through the nostrils in a minimally-invasive manner utilizing a nasal endoscope.

Normally, tears are produced in the outer part of the eye socket and lubricate the eye as they course towards their normal drainage areas into the nose, in the inner part of your upper and lower eye lids. The tears then flow through a long duct on the outer parts of the nose, and drain close to the nasal floor, where they flow with the normal nasal mucus secretions to the back of the nose.

An endoscopic DCR bypasses this normal drainage pathway when it becomes blocked, due to a variety of reasons. A DCR allows the tears to flow directly into the nose. This bypass is constructed higher up in the nose, above the obstructed area in the lacrimal duct, in the area of the lacrimal sac.

A blocked tear duct has a variety of potential causes, including:

Why Choose UHealth?

Experienced, specially trained experts. The experts at University of Miami Health have over 30 years of experience performing endoscopic DCR, endoscopic orbital decompression, and other transnasal endoscopic orbital procedures to remove tumors of the orbit through the nose. They are part of a well-trained group of internationally recognized endoscopic transorbital surgeons that work together daily, as an integrated multidisciplinary team of ENT doctors and ophthalmologists (at our world-renowned Bascom Palmer Eye Institute) who specialize in endoscopic transnasal procedures of the orbit. You receive individualized care as our team determines the cause of your excessive tearing (epiphora) and determines the best evidence-based treatment plan (medical or surgical) for your problem.

Our academic health center provides you with more treatment options. Our ENT specialists are experts in the field of rhinology. As part of an academic health center, we are proud to offer breakthrough treatments not available to other facilities in South Florida. We also offer our patients early access to clinical trials and new medical and procedural treatments. We provide comprehensive care for a wide array of rhinologic conditions, backed by expertise, research, and education.

Questions? We're here to help.

Our appointment specialists are ready to help you find what you need. Contact us today.

Who is a Candidate?


Your specialist will recommend that you undergo a DCR to relieve the symptoms of a blocked tear duct, which can include excessive eye watering or crusting around the eye. If your tear duct is infected, you may also be experiencing:

  • Swelling and tenderness around your eye
  • Eye irritation
  • Mucus discharge

It’s important to realize that not everyone who has a blocked tear duct will need to undergo a DCR. Speak with your specialist to determine the best treatment option for your blocked tear duct.


What to Expect


For this procedure, you will be under general anesthesia (fully asleep) in an outpatient setting. Using a nasal endoscope, your surgeon creates a small opening through your nostril, in the outer part of the nose (inner part of the lacrimal sac that lies above the obstructed duct). This opening connects your lacrimal sac (area where tears over flow from the upper and lower lid areas) to your nasal cavity, creating a new path for tears to drain into your nose. Sometimes, the surgeon may leave a small tube in place for six weeks to help keep the new tear duct open, if there is a lot of internal inflammation or scarring of the sac.

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • CompCare (Comprehensive Behavioral Care)
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry Vista Medicare HMO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Global Health Claims Services
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana HUMx
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care