Tear Duct Reconstruction

The tear ducts play a vital role in keeping your eyes healthy and comfortable by draining tears from the surface of the eye into the nasal cavity. When the tear ducts become blocked or damaged, it can lead to excessive tearing (epiphora), irritation, or even infections. Tear duct reconstruction is a specialized procedure designed to restore proper drainage and relieve these symptoms, improving both eye health and quality of life.

Dr. Robert Schwarcz, with offices on the Upper East Side of Manhattan in NYC and Rye, NY, is a leading expert in tear duct reconstruction, offering advanced solutions to treat blocked or damaged tear ducts with precision and care.

What Causes Tear Duct Blockages?

Tear duct blockages can occur due to a variety of reasons, including:

• Congenital Issues: Some individuals are born with underdeveloped or blocked tear ducts.

• Aging: Narrowing of the tear ducts over time.

• Infections: Repeated infections can cause scarring or narrowing of the ducts.

• Trauma or Injury: Damage to the tear ducts from an injury or surgery.

• Tumors: Growths in or around the tear ducts can obstruct drainage.

Symptoms of a Blocked Tear Duct

• Persistent tearing (epiphora).

• Redness or swelling around the eyes or nose.

• Recurrent eye infections.

• Mucous discharge from the eyes.

• Pain or discomfort near the inner corner of the eye.

Treatment Options for Tear Duct Blockages

1. Non-Surgical Treatments

• Probing and Irrigation: A simple procedure to open blocked tear ducts, often used for congenital cases in infants or mild blockages.

• Stenting or Intubation: Temporary silicone tubes are inserted into the tear ducts to keep them open while healing occurs.

2. Surgical Treatment: Tear Duct Reconstruction

For more severe or persistent cases, surgical reconstruction is often required.

Dacryocystorhinostomy (DCR): The Gold Standard

• How It Works:

  • A new drainage pathway is created between the tear sac and the nasal cavity to bypass the blocked tear duct.

  • This can be performed externally (with a small incision on the side of the nose) or endoscopically (through the nasal cavity with no visible scarring).

• Ideal For: Chronic blockages or scarring that cannot be treated with non-surgical methods.

Other Surgical Options:

• Canalicular Repair: Reconstructs damaged tear duct canals.

• Balloon Dacryoplasty: A minimally invasive technique where a tiny balloon is inserted and inflated to open the blocked duct.

What to Expect During Tear Duct Reconstruction

Consultation and Planning:

• Dr. Schwarcz will perform a thorough evaluation of your tear ducts using diagnostic tools such as imaging studies or dye tests to determine the best treatment plan.

The Procedure:

• Tear duct reconstruction is typically performed under local anesthesia with sedation or general anesthesia, depending on the complexity of the case.

• The surgery usually takes 1–2 hours.

Recovery:

• Mild swelling or bruising around the eyes and nose is common for the first week.

• Most patients can return to normal activities within a few days.

Aftercare Tips:

• Use prescribed eye drops and medications to reduce inflammation and prevent infection.

• Avoid strenuous activities and blowing your nose for at least two weeks.

Benefits of Tear Duct Reconstruction

• Restores natural tear drainage and reduces excessive tearing.

• Relieves discomfort and irritation caused by blocked ducts.

• Prevents recurrent infections and inflammation.

• Improves overall eye health and comfort.

Why Choose Dr. Robert Schwarcz for Tear Duct Reconstruction?

Dr. Robert Schwarcz is a highly skilled oculofacial plastic surgeon with extensive experience in tear duct surgeries. His expertise ensures precise and effective treatment, tailored to each patient’s unique needs.

With offices on the Upper East Side of Manhattan in NYC and Rye, NY, Dr. Schwarcz combines advanced surgical techniques with a compassionate approach, providing seamless care from diagnosis to recovery.

Take the First Step Toward Relief

If you’re experiencing excessive tearing, recurrent infections, or discomfort, tear duct reconstruction could be the solution. Schedule a consultation with Dr. Robert Schwarcz today. Request an appointment by clicking the button below to explore your options and restore comfort to your eyes.