Background:

Chronic dacryocystitis is a common ophthalmic problem almost always requiring surgery as the only definitive treatment. The study puts in a sincere effort to compare the peri–operative outcome of external DCR surgery under local anesthesia with sedation compared to General Anesthesia. Sixty consecutive patients with chronic dacryocystitis undergoing dacryocystorhinostomy (DCR) surgery were randomly divided into two groups. Group A underwent DCR under local anesthesia (LA) with sedation and group B under GA. The outcome parameters were intra–operative pain, surgeon‘s comfort, intra–operative complications and duration of surgery. The use of sedation with LA improves the perioperative outcome of DCR surgery and there is no significance of outcomes when compared to the General Anesthesia.