Tear Duct Surgery (DCR) Package

People with blocked tear duct experience constant tearing and discharge from the affected eye. The exact cause of this disorder is not known, and various causes have been proposed. But importantly, most of these people (over 60%) suffer from other anatomic and inflammatory nasal problems of the nose such as nasal septum deviation, nasal polyp, sinusitis, or close proximity of the most anterior air cells of ethmoid sinus to tear duct, or other problems.

Surgical Procedure

In this method, the surgeon uses an endoscope inserted through the nasal opening to the duct system to create an alternative route for the drainage of tears between the lacrimal sac and nasal cavity. This method requires no incision so leaves no scar. In this surgical technique, a direct passage is opened for draining tear from lacrimal sac into nasal cavity, and the obstructed section of the nasolacrimal duct is diverted to the nose. It is worth noting that acquired nasolacrimal duct obstruction is a fairly common problem.

Post-Operative Care
  1. Keep your head up at a 30-degree angle.
  2. If your bleeding is not controlled or continues through the pharynx, you should go to a medical center.
  3. Avoid blowing your nose.
  4. Take your medications, especially antibiotic and steroid drops as prescribed.
  5. Refrain from rubbing your eyes or nose.
Common Symptoms
    •    Tearing
    •    Eyelid swelling
    •    Swelling of the lacrimal sac
    •    Mucus or pus discharge
    •    Blurred vision
    •    Pain and swelling of the inside corner of the eye
    •    Inflammation of the lacrimal sac
    •    Recurrent conjunctivitis

Pre-Operative Preparation
•    Eye examination, the assessment of the tear film and lacrimal sac
•    Fluorescein test

Who Are NOT Good Candidates for Tear Duct Surgery

People with uncontrolled and untreated eye diseases or patients who they cannot able to undergo this surgery, based on their ophthalmologists’ diagnosis.

Surgical Equipment
Tear duct surgery is performed using cutting edge surgical microscopes, in the intraocular operating room of Noor Eye Hospital.
Duration of Your Stay in Iran

Up to 3 days after surgery



Before surgery, be sure to tell your ophthalmologist about your medical history and current medications you are taking.

Azadeh Farahi, MD.

Sepideh Tavakolizadeh, MD.

Reza Erfanian Salim, MD.

Masoud Aghsaei Fard, MD.