DCR and CPAP

$Rit3 · Post by **$Rit3** » Sun May 02, 2021 1:47 pm

Concerns about getting a DCR for blocked tear duct and using CPAP after. A number of people say that air from CPAP blowing back into eye make using CPAP unbearable. I will not use a full face mask or mouth. What are my alternatives if need be?

ChicagoGranny · Post by **ChicagoGranny** » Sun May 02, 2021 2:25 pm

This is a serious concern. Here is one small meta analysis -->

Eighty percent (8/10) of patients complained of symptoms from the use of their CPAP following DCR. The most commonly described symptom was that of air regurgitation in 70% of patients followed by ophthalmic symptoms in 60% (6/10). 50% (5/10) of patients discontinued their CPAP as a consequence of their symptoms with 20% (2/10) discontinuing because of intolerable ophthalmic symptoms.

Conclusion: Symptoms from CPAP use post-endoscopic DCR are a common occurrence and may contribute to poor compliance with CPAP therapy. Detailed preoperative counseling with regards to CPAP use and its effects should be mandatory in known or at risk OSA patients undergoing DCR.

Full analysis: https://pubmed.ncbi.nlm.nih.gov/25495401/

Discuss it with your surgeon and your sleep doctor. Is the surgery really necessary?

One alternative to CPAP is a mandibular advancement device (MAD) - https://www.sleepassociation.org/sleep- ... nt-device/

The problem is MADs are generally not nearly as effective as CPAP. This is true of all MADs including those professionally fitted by dentists.

DCR and CPAP

DCR and CPAP

Re: DCR and CPAP