Dacryocystorhinostomy (DCR) is the standard surgical treatment for epiphora caused by obstructions distal to the common canaliculus. 102 patients of epiphora with obstruction in nasolacrimal duct secondary to chronic dacryocystitis were treated by endoscopic DCR. Concomitant surgeries were done in selected cases. All cases were diagnosed clinically by regurgitation test and sac syringing. Cases having epiphora due to other causes and due to pre-saccal obstruction were excluded. Average follow up was from 3 months to 1 year. Primary success rate 84.75% at the end of 6 months. Major complications was not found in any case. Adhesions and granulations around neoostium was the most common cause of failure. It was finally concluded that endoscopic DCR is safe and effective procedure for the management of epiphora secondary to nasolacrimal duct obstruction with comparable success rates and with no major complication.

Keywords: Epiphora, Chronic Dacryocystitis; Nasolacrimal Duct Obstruction (NLD); Endoscopic Dacryocystorhinostomy (End DCR).