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Lacrimal duct surgery

Treatment of tear duct obstructions that cause persistent tearing, restoring proper drainage and ocular comfort.

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The lacrimal ducts are responsible for draining tears from the eyes into the nose. When there is an obstruction, tears cannot drain properly and constant tearing, discharge, recurrent infections or inflammation in the lacrimal sac region appear.

What is it?

Lacrimal duct surgery includes different procedures aimed at restoring tear drainage. The most common procedure is dacryocystorhinostomy (DCR), which creates a new communication between the lacrimal sac and the nose to allow proper tear flow. Depending on the case, it can be performed with an external or endoscopic technique.

Who is it for?

For people with lacrimal duct obstruction who have persistent tearing, recurrent infections, lacrimal sac inflammation or ocular discharge related to tear drainage alterations. Each case is evaluated individually to determine the most appropriate treatment.

How is it performed?

Surgery is performed in an operating room under local anesthesia with sedation or general anesthesia, depending on each case. During the procedure a new drainage pathway is created between the lacrimal sac and the nose to restore normal tear flow. It usually takes between 60 and 90 minutes.

Recovery

During the first days swelling, mild bruising or nasal congestion may occur. Follow-ups are scheduled to monitor proper healing and confirm that the new lacrimal pathway remains patent. Most people resume their usual activities in approximately one week.

Frequently asked questions

Frequently asked questions

Does the surgery leave a visible scar?
The endoscopic technique leaves no external scar. With the external technique, the incision is usually small and the scar generally becomes barely visible over time.
Is the surgery permanent?
In most cases it offers a lasting solution to the lacrimal obstruction, though results may vary based on the cause of obstruction and each person's healing process.
Is the surgery painful?
Generally no. The procedure is performed under anesthesia and afterwards mild discomfort, swelling or temporary nasal congestion may occur.
Are tubes or lacrimal probes placed?
In some cases yes. Temporary silicone tubes may be placed to keep the new drainage pathway open during the healing process.
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