If you have a complex obstruction in the duct, you may need to have a surgery called DCR or dacryocystorhinostomy. This procedure involves creating a new route for the tears to flow. The route goes from the lacrimal sac directly into the nasal cavity bypassing the blocked duct.

DCR or lacrimal surgery is a same-day outpatient surgery. It can be performed by placing a small incision through the side of the nose or done endoscopically through cameras inserted into the nose. An opening is then made in the bone between the lacrimal sac and the nasal cavity. This creates a direct space between them and allows the tears to bypass the obstructed duct and resume normal tear flow.

Often a tube called a stent is left in to keep the passageways open. The tube is removed in about 2-3 months via an in-office appointment.

Preparing for Surgery

Your doctor will let you know what to do when you are preparing to have your DCR. Prior to your tearing surgery, you will either have a CT scan or MRI to provide a more detailed image of the nasolacrimal area.

​​​​​​​Recovery

Your surgeon will let you know what to expect when it comes to recovery, but you can expect to be sore and follow up within ten days with your doctor.