Introduction : Endoscopic DCR is a surgical procedure to drain the lacrimal sac in instances of  Nasolacrimal duct obstruction. The common causes of failure of dacryocystorhinostomy are obstruction of the rhinostomy site and of the common canaliculus. Various methods to prevent the recurrence of obstruction at rhinostomy site following endoscopic dacryocystorhinostomy have been tried such Mitomycin–C, use of silicone stent and steroid nasal sprays. Stenting appears to be cost–beneficial and simple procedure to achieve the above result. So we undertook a study to compare the results of  Primary Endoscopic DCR with and without Silicone stenting.

Material &Methods :The surgical outcomes of  Endoscopic DCR with and without Silicone stent were compared in 30 patients of chronic dacryocystitis. silicone stent was used in 15 patients and remaining 15 patients without use of silicone stent. Follow–up was done at end of 1st week, 6 weeks, 3 months  and 6months after surgery. Surgical success was evaluated subjectively and objectively after 6months and results were compared.

Results :The success rate was 86.66% with Silicone stent as compared to 93.33% without Silicone stent . There was no statistical difference in the results of two groups. (P value – 0.542)

Conclusion :Silicone stent has no significant beneficial effect in preventing reclosure of the dacryocystorhinostomy stoma after primary endoscopic dacryocystorhinostomy. Meticulous, atraumatic surgical technique is gold standard in achieving a successful surgical result.