Topic Overview

Dacryocystorhinostomy is a type of surgery sometimes used to treat
blocked tear ducts in adults. It is rarely used in

This procedure creates a new passageway between the tear duct sac and
the nasal cavity, bypassing the blocked tear duct. To do the procedure, the doctor needs to make a cut (incision) in the skin by the eye. A tube is inserted through
the tear duct sac and into the nose through a hole in the bone. This tube is
left in the nose and stitched in place.

Adults who have long-term tear duct blockage that is not caused by an
infection often need to have dacryocystorhinostomy. If the person has a tear
duct infection, surgery will be delayed until the infection has cleared.

local or general anesthesia can be used during this

Antibiotics applied to the eye or taken by mouth are
used to prevent infection after surgery.

After about 3 days, you
return to the doctor’s office to check the placement of the tube and to have
the stitches removed. The tube is left in place for at least 6 weeks.

The risks of dacryocystorhinostomy include:

  • Bleeding from the nose.
  • Infection or
    blockage of the tear ducts.
  • Tube displacement (the tube shifting
    out of place).

You will have a small scar where the surgery was done.


ByHealthwise Staff
Primary Medical Reviewer John Pope, MD – Pediatrics
Specialist Medical Reviewer Christopher J. Rudnisky, MD, MPH, FRCSC – Ophthalmology

Current as ofMay 4, 2017