DCR (Tear Duct Surgery) Treatments
Tear duct surgery is performed to restore normal tear drainage in patients experiencing persistent watery eyes.When the natural drainage system becomes blocked or narrowed, tears are unable to flow properly - leading to overflow, discomfort and, in some cases, recurrent infection. Surgical treatment provides a reliable, long-term solution.
What Is Tear Duct Surgery?
Tear duct surgery, most commonly known as dacryocystorhinostomy (DCR), creates a new pathway for tears to drain from the eye into the nose.
It is used to treat:
- Blocked tear ducts (nasolacrimal duct obstruction)
- Chronic watery eyes (epiphora)
- Recurrent infections of the tear sac (dacryocystitis)
By bypassing the obstruction, the procedure restores normal tear flow and improves both comfort and day-to-day function.
Why Is Surgery Needed?
Tears are constantly produced to protect and lubricate the eye. When drainage is impaired, tears can build up and overflow onto the cheeks.
In some cases, stagnant tears may lead to:
- Recurrent eye infections
- Mucus discharge
- Swelling or pain around the inner corner of the eye
When symptoms are persistent or impact quality of life, surgery is often the most effective treatment.
Types of Tear Duct Surgery
The procedure may be performed using an external or endoscopic approach, depending on the individual case.
Both techniques are carefully planned to restore function while minimising disruption to surrounding structures.
Endoscopic DCR (Tear Duct Surgery)
Endoscopic DCR is a minimally invasive procedure designed to restore normal tear drainage by bypassing a blocked tear duct.
It offers a refined, incision-free approach to treating persistent watery eyes, with excellent functional outcomes and minimal visible signs of surgery.
External DCR (Tear Duct Surgery)
External DCR is a well-established surgical procedure designed to restore tear drainage by creating a new pathway from the tear sac into the nose.
It is a highly effective treatment for persistent watery eyes caused by tear duct obstruction.
The Procedure
Tear duct surgery is typically performed as a day procedure under local anaesthetic with sedation or general anaesthetic.
During surgery:
- A new drainage channel is created
- A fine silicone stent may be placed temporarily to support healing
The procedure is carefully planned to restore function while minimising disruption to surrounding tissues.
Recovery & Aftercare
Recovery is generally straightforward.
- Mild swelling or bruising may occur depending on the approach
- Nasal congestion or minor discomfort is common in the early stages
- Most patients return to normal activities within one to two weeks
The silicone stent is usually removed after several weeks once healing is established.
Outcomes
Tear duct surgery is highly successful in resolving watery eyes and reducing the risk of infection.
Most patients experience:
- Long-term relief from tearing
- Improved comfort
- Better day-to-day visual function
Success rates are high when the procedure is performed for the appropriate indication.
A Considered Approach to Treatment
Tear duct surgery is recommended when symptoms are persistent and clearly linked to drainage obstruction.
With careful diagnosis and a tailored surgical approach, it offers a reliable and lasting solution – restoring both comfort and confidence.