Tear Duct Surgery in Philadelphia

Serving Philadelphia, the Main Line, King of Prussia, Wayne, PA, New Jersey and the neighboring tri state areas

American Academy of Facial Plastic and Reconstructive Surgery American Society of Ophthalmic Plastic & Reconstructive Surgery, Oculofacial Plastic Surgery American Academy of Cosmetic Surgery American Academy of Ophthalmology American Board of Ophthalmology American College of Surgeons (ACS) WillsEye Hospital Philadelphia, PA

If you have persistent issues with a blocked tear duct, tear duct surgery is one of the ways the oculo-facial surgeons at the Morgenstern Center can help.

At the Morgenstern Center, our oculo-facial surgeons are experts on facial reconstructive surgery, and have performed tear duct procedures plenty of times before. They are more than willing to discuss every aspect of the surgery to you, and our professional staff will do everything it can to put you at ease.

Tear Duct Procedure

The swelling and pain that accompanies a blocked tear duct comes from fluid in your nasal passages, unable to drain through the tear ducts like they normally can. Tear duct surgery, also called dacryocystorhinostomy, reconstructs a passage from the nasolacrimal duct to the corner of your eyes, allowing the tears to drain freely again.

To do this, the surgeon bypasses the blockage with a new connection, often placing a stent into the new connection to make sure it heals properly. This will be removed in a separate procedure several months after the surgery. After the surgery, you'll be given a nasal decongestant spray and antibiotic eyedrops to prevent infection and reduce inflammation.

Tear Duct Blockage Symptoms

Diagnosing a tear duct blockage can be tricky, because they can occur at almost any time. But there are a few telltale symptoms, chief among them being irritation and a painful swelling on the inside corner of your eyelid.

Often the blockage occurs due to an infection, and if left untreated, the infection can spread, so you'll want to get your tear duct treated as soon as possible.

Non-surgical treating options for a blocked tear duct include:

  • antibiotic eyedrops
  • flushing the ducts with saline
  • dilation and probing of the ducts
  • dilation via balloon catheter
  • intubation of the ducts

If the tear duct does not respond to these treatment methods, or if it is big enough that they are unlikely to work, you will want to have surgery done by an expert.

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