Question: REGARDING COMPLICATION FOLLOWING DACRYOCYSTORHINOSTOMY surgery.
I am a 67 year old lady ten years ago I had plugs put in both eyes for dry eye. The procedure took ten minutes in the specialists room.
Recently I had a discharge from the left eye My dry eye condition had healed years ago.
y was informed by the hospital eye clinic that the plug had probably gone side ways and blocking the area.
On two seperate occasions over a period of months I had a wire put down the side of my eyes (both) in an attempt to push the plugs through the back of my nose and down my throat flushing the area with water.
There was a clear passage through my right eye but each time the left appeared blocked.
This lead to an appointment with the specialist some months later.
I was informed by the specialist Mr XXXXXXX that I need to have an incision at the side of my eye to remove the plug which was obvously stuck. I was informed by him that the sometimes open like umbrellas and there for trying to pull them out can cause more damage.
We discussed my allergy to vicryl sutures. He said he would look into this. There was a
Dr from Canada present.
I asked him if I could have an MRI to confirm that the plug was there. He replied that it would not show on the MRI. I asked if a swab could be taken of the discharge, which was not as bad .as when it first presented. he said no, it was clear what the problem was
I left on the understanding I would have an operation to remove the plug.
There was NO discussion or information given re any complications that could occur.
I was not informed or consulted about another item to be plug put in are you? placed into my eye.
If I had I would not have agreed .
The day of the surgery, I had the drip with local anesthetic in my arm and I said to Mr XXXXXXX I dont want another plug put in.
This had been raised
By then I was 0 minutes prior to my going into surgery by a famly member who said "You arent having another plug put in are you" I had no intention of this and said to Mr XXXXXXX I didnt want another plug in, he said, the operation wont be as successful and they are different now". As I was in no state for discussion, drowsy, with the drip and meds going in I just said to Mr XXXXXXX "I will have to trust you"
The result is I have had surgery almost 3 weeks ago.
I was given an appointment to see Mr XXXXXXX two weeks after the procedur
I was just pulling into the hospital car .park and got a phone call from the hospital saying "Dont come, we have to change your appointment.
I said I had driven from Whangaparoa almost 1 hour drive away and needed to see Mr XXXXXXX as I had a problem of ongoing excessive watering of my eye.
I went into the hospital and said I would call Health and Disability support if I saw no one for my eye.
After sometime a Dr was called who saw the eye continuosly watering, she said I had to see Mr XXXXXXX
I have had to leave several messages at the hospital asking for an appointment, finally asking the customer service team to email the booking scheduler, who then rang and gave me an appointment for Tuesday 12 XXXXXXX
Would you please help me regarding my way forward my eye is watering ongoing now.
I BELIEVE THERE IS DAMAGE TO MY TEAR DRAINAGE

I DID NOT HAVE ANY INFORMATION OR DISCUSION FROM MR XXXXXXX NOR DID I AGREE TO THE TUBE BEING INSERTED.
THE BRIEF WORDS (WHICH I INITIATED) FROM THE SURGEON TO ME WHILE I WAS UNDER ANESTHETIC DID NOT FULLY INFORM ME OF WHAT THE SURGEON INTENDED

But why is my eye continuing to water following the surgery please? was a mistake made?

I thought the DCR is a tube so is stenting a replacement tube? Thank you

I dont understand if there is a blockage I wouldnt have ongoing water down my face from my eye. A blockage would mean water cant come out at all wouldnt it?
What is blocking it then?

you suggest that after surgery there must be a blockage in the drainage system of my eye which is causing continous watering of my eye.
please advise me why or how this might have happened during surgery.

as above

my original problem was never watering eye.
it was pus cream in color that came out first thing in the morning.
now my eye is watering continuisly after the dcr.
I am asking you as my GP is not available and the person who operated is not available for 2 weeks.
I never had a swab to identify the discharge.
I was told the discharge will be from silicon plugs which were put in 10 years ago.
The operation I thought I was having was to remove the plug. I was not informed a tube was going in.
What is causing the water please

I am very grateful to you.
So please tell me, what will the CT scan of bilateral eyes possibly show or confirm given the ongoing watering.
If there is damage causing the ongoing watering what can be done to repair it please?