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Before

Before surgery

After

After surgery*

The underlying cause of tearing can be divided into two broad categories. The first category is obstructive tearing. The tears naturally drain through the nasolacrimal outflow tract into the nose. When this pathway is blocked, obstructed tearing can occur. An obstructive nasolacrimal outflow tract is analogous to a sink with a plug in the drain. Water flows into the sink until the sink overflows. The treatment for this type of tearing often involves surgery to repair the lacrimal outflow tract or “unclog the drain.”

The second category of tearing is caused by a myriad of conditions producing ocular irritation. Tearing in this category is more common than obstructive tearing. Conditions such as dry eye, allergic conjunctivitis, chronic contact lens use, or an eyelid malposition may produce irritated tearing. An example of this type of tearing is the tearing that develops when peeling an onion. The treatment for irritated tearing is directed at removing or ameliorating the underlying cause. The most common cause of irritated tearing is the common dry eye.

Dacryocystitis is a painful infection and abscess of the lacrimal sac. This is an example of tearing caused by an obstructed lacrimal outflow tract. The treatment for dacryocystitis is often surgery. A dacryocystorhinostomy creates a new more efficient drain for the tears to enter the nose. The surgery is highly effective at relieving the symptoms of dacryocystitis.








*While patient satisfaction with Dr. Long is high, we cannot guarantee the outcome of any surgical procedure. Individual results vary from patient to patient and it's important that you speak with Dr. Long to determine the best solution for you.