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About Blocked Tear Ducts

A Blocked Tear Duct is a common condition affecting people of all ages. It occurs when tears cannot drain properly due to an obstruction in the tear drainage system. When these ducts become blocked, the tears cannot flow into the nasal cavity as they should, leading to persistent watery eyes, recurrent eye infections, and in some cases, pain or swelling around the eyes.

At Moorfields Eye Hospitals UAE, we provide advanced diagnostic services and a range of effective treatments tailored to each patient’s needs. Our experienced surgeons specialise in tear duct surgery at our Dubai and Abu Dhabi branches, using the latest techniques to restore healthy tear drainage and relieve symptoms with minimal discomfort and downtime.

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What causes blocked tear ducts?

A blocked tear duct may develop due to several underlying reasons:

  • Congenital issues: Some infants are born with an underdeveloped or closed membrane at the end of the tear duct, which prevents normal drainage.
  • Infections: Eye or sinus infections, can cause inflammation, leading to tear duct blockages.
  • Inflammation: Inflammatory conditions can cause swelling in the tear ducts, leading to obstructions.
  • Injury or trauma: Physical injuries to the face, particularly near the eyes or nose, can damage the tear ducts and cause blockages.
  • Age-Related changes: Aging can cause the tear ducts to narrow or lose elasticity, increasing the risk of blockages.
  • Tumors or growths: Benign or malignant tumours near the tear duct can obstruct tear drainage.
  • Previous surgeries or radiation treatment: Surgical procedures involving the eyes, nose, or sinuses, as well as radiation therapy, can result in scarring or narrowing of the tear ducts.

What are the symptoms of Blocked Tear Ducts?

Symptoms of a Blocked Tear Duct may include:

  • Excessive tearing or watery eyes (Epiphora).
  • Redness of the white part of the eye.
  • Recurrent eye infection or inflammation.
  • Painful swelling near the inside corner of the eye.
  • Crusting of the eyelids.
  • Discharge from the lids and surface of the eye.
  • Blurred vision.

An eye specialist for tear ducts can diagnose the condition and recommend appropriate treatments to relieve the symptoms and restore normal tear drainage.

 

Dacryocystorhinostomy (DCR) is the most common surgical approach to address tear duct obstruction and treatment for watery eyes. It creates a new pathway between the tear sac and the nasal cavity to allow normal tear drainage. The approach taken depends on the patient’s specific needs and anatomy.

External DCR

This method involves making a small incision on the side of the nose near the inner corner of the eye. The surgeon creates a new tear drain opening through this incision, allowing tears to flow normally from the eyes into the nose. While a minor scar may remain, it is highly effective for adults with severe or long-standing Tear Duct Blockages.

Endoscopic DCR

A minimally invasive form of Lacrimal Duct Treatment that avoids external incisions by using a small camera (endoscope) and specialised surgical instruments to create a new drainage passage through the nose. As no external incision is required, there is no visible scarring, and recovery time is often shorter. It is an effective option for those suffering from chronic Tear Duct Blockages, relieving symptoms like excessive tearing and recurring infections.

Transcanalicular Laser-Assisted Endoscopic DCR

This advanced and minimally invasive procedure uses a laser technology to clear the obstruction through the natural tear duct opening. There are no visible cuts, and the precision of the laser allows for a smoother recovery. Patients can typically return to their usual routines soon after the procedure.

What to expect after surgery?

Recovery from Lacrimal Surgery varies depending on the type of procedure performed. Patient involvement in post-treatment care is crucial for a successful recovery. It is important to follow the surgeon’s recommendations, follow the prescribed medication regimen, and attend all follow-up appointments.

  • Surgery: Depending on the type of surgery, the procedure usually takes about 30 minutes to an hour, and patients can go home the same day.
  • Post-Surgery Care: Patients may need to use prescribed eye drops and avoid activities that could strain the eyes or nose.
  • Follow-Up visits: Attending all scheduled appointments is essential to monitor healing and assess the success of the procedure.
  • Managing Symptoms: Some temporary symptoms, such as mild discomfort or tearing, may occur during recovery but should gradually improve as healing progresses.

For individuals seeking blocked tear duct treatment in the UAE, our oculoplastic surgeons in Dubai and Abu Dhabi are highly experienced in managing cases in both children and adults using the latest surgical techniques to ensure safe, effective, and lasting relief.

 

Looking for more information?

Explore our frequently asked questions for additional information about your condition, care and treatment.

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Blocked Tear Duct Treatment Specialists

FAQ

Persistent, recurrent or troublesome watering should be assessed by an ophthalmologist, particularly when it is accompanied by redness, discharge, crusting or repeated infections. Pain or swelling near the inner corner of the eye requires more prompt assessment, as this may indicate infection within the tear drainage system. Where a tear drainage problem is suspected, an oculoplastic specialist can assess the drainage pathway, identify the underlying cause and recommend the most appropriate management or treatment.

Whether a blocked tear duct clears without surgery depends largely on age and the underlying cause. In babies, many blocked tear ducts resolve naturally during the first year of life as the drainage system matures, sometimes supported by gentle tear duct massage. In adults, blockage is more commonly related to narrowing, inflammation, scarring or injury and is therefore less likely to resolve on its own. If watering persists, an assessment with an oculoplastic specialist can help identify the cause and determine whether observation, conservative management or a procedure is the most appropriate next step.

A blocked tear duct usually does not cause permanent vision changes, although excess tears on the eye’s surface can cause temporary or fluctuating blurring. This usually improves when the tears clear or normal drainage returns. Persistent blurred vision, pain or any other change in sight should be assessed by an ophthalmologist, as these changes in vision may indicate another eye condition rather than the tear duct blockage itself.

Treatment for blocked tear ducts in babies often begins with observation, gentle tear duct massage and careful eyelid cleaning, as many cases improve as the tear drainage system matures. If the blockage persists, causes ongoing symptoms or leads to repeated infections, your child’s specialist may recommend probing to open the drainage pathway. The timing and type of treatment depend on your child’s age, symptoms, and clinical findings, allowing the specialist to recommend the most appropriate approach as the condition develops.

Tear duct massage can help babies with a blocked tear duct, as gentle pressure near the inner corner of the eye may encourage the drainage pathway to open as it matures. Because the technique needs to be performed correctly, the ophthalmologist should first confirm that massage is appropriate for your child and show you how to do it safely and effectively.

Treatment depends on the cause, location and severity of the blockage, as well as the patient’s age and clinical findings. Some cases can be managed conservatively, while persistent or significant blockages may require a procedure to restore tear drainage. A main surgical treatment is dacryocystorhinostomy, or DCR, which creates a new drainage pathway between the tear sac and the nose. DCR can be performed externally through a small incision beside the nose, or endoscopically through the nose without an external incision, while a laser-assisted approach may also be considered in selected cases.

Recovery after tear duct surgery depends on the procedure performed and how the tissues heal, although most patients are discharged on the same day and can gradually resume light daily activities over the following few days. Mild discomfort, watering, swelling or nasal symptoms are common in the early recovery period and usually improve as healing progresses.
the Oculoplastic surgeon will assess your recovery at follow-up and advise when it is appropriate to return to work, exercise and other activities, including how long to avoid strenuous activity or pressure around the eye and nose.

Our hospitals in Dubai and Abu Dhabi have experienced oculoplastic specialists with expertise in diagnosing and treating disorders of the tear drainage system in both adults and children. Care ranges from conservative management through to specialist procedures such as probing and dacryocystorhinostomy (DCR), with the treatment approach tailored to the cause and severity of the blockage.

Our hospitals in Dubai and Abu Dhabi work with a wide range of insurance providers, and coverage for consultation, investigations, and treatment depends on your individual policy and any prior approval your insurer requires. You can confirm the details of your cover directly with your insurer, or to contact us ahead of your appointment so that we can help you understand what to expect. The full list of accepted insurance providers is available at https://moorfields.ae/insurance-provider/

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