Lacrimal surgery is a specialized procedure that focuses on treating conditions affecting the lacrimal (tear drainage) system. The lacrimal system is responsible for producing and draining tears, ensuring eye lubrication and preventing infections. When the tear ducts become blocked, infected, or damaged, excessive tearing (epiphora), recurrent infections, or dry eye syndrome can occur. Lacrimal surgery helps restore normal tear drainage and improves eye comfort.

Conditions That May Require Lacrimal Surgery

• Nasolacrimal Duct Obstruction (NLDO)- A blockage in the tear drainage system that prevents tears from draining properly, leading to excessive tearing, eye infections, and discharge. Can be congenital (present at birth) or acquired (due to aging, trauma, or infections).
• Chronic Dacryocystitis (Infected Tear Ducts)- A painful infection of the lacrimal sac due to tear duct blockage. Symptoms include redness, swelling, discharge, and discomfort near the inner corner of the eye.
• Lacrimal Trauma or Injury- Damage to the tear drainage system from accidents, burns, or previous surgeries.
• Tumors in the Lacrimal System- Rare benign or malignant tumors that may block the tear ducts or affect tear production.

Types of Lacrimal Surgery

1. Dacryocystorhinostomy (DCR) – Tear Duct Bypass Surgery

• The most common lacrimal surgery for nasolacrimal duct obstruction.
• Creates a new drainage pathway between the lacrimal sac and nasal cavity, bypassing the blocked tear duct.
• Can be performed externally (small incision on the side of the nose) or endoscopically (through the nasal passage with no visible scar).

2. Balloon Dacryoplasty (Minimally Invasive Option)

• A small balloon catheter is inserted into the blocked duct and inflated to open the passage.
• Often used for partial obstructions or congenital tear duct blockages in children.

3. Lacrimal Stent Placement

• A small tube is placed within the tear drainage system to keep the duct open.
• Typically temporary and removed after a few months.

4. Punctoplasty (Opening Blocked Puncta)

• The tear drainage holes (puncta) on the eyelid margin are enlarged to allow better tear flow.
• Used for mild cases of punctal stenosis (narrowing of the tear ducts).

5. Canalicular Repair (For Trauma Cases)

• Repairs damaged lacrimal canaliculi (tiny tear drainage channels in the eyelids) due to injury or surgery.

What to Expect Before and After Surgery

Pre-Surgery Evaluation

• Thorough eye examination and imaging tests (dacryocystography or CT scan) to assess the blockage.
• Discussion of surgical approach, risks, and expected outcomes.

Post-Surgery Recovery

• Mild swelling and bruising around the eye or nose are common and usually subside within 1-2 weeks.
• Antibiotics and nasal sprays may be prescribed to prevent infections and keep the nasal passage clear.
• In DCR surgery, a small silicone stent may be placed temporarily to maintain the new drainage pathway.
• Most patients experience significant improvement in tear drainage and relief from excessive tearing within a few weeks.

Expert Care for Lacrimal Surgery

For effective treatment of tear duct disorders, specialized surgical care is essential. Dr. Jyoti Batra Ohri, a leading Ophthalmologist and Oculoplasty Surgeon, offers advanced lacrimal surgery solutions to restore proper tear drainage and improve eye health.

Schedule a consultation today to explore treatment options for blocked tear ducts and regain comfortable, clear vision.