Persistent watering of the eyes is often dismissed as a minor inconvenience. However, when tearing becomes chronic, recurrent infections develop, or swelling appears near the inner corner of the eye, it may indicate a lacrimal drainage disorder. In Dubai’s dusty and climate-controlled environment, tear duct problems are frequently seen, yet many patients delay treatment until complications arise.

The lacrimal system is responsible for draining tears from the eye surface into the nasal cavity. When this drainage pathway becomes blocked, tears accumulate and may lead to infection. This condition, known as nasolacrimal duct obstruction, can occur in adults due to inflammation, age-related narrowing, trauma, sinus disease, or previous nasal surgery. In some cases, infection of the lacrimal sac — called dacryocystitis — may develop, causing pain, redness, and discharge.

Patients with lacrimal disease commonly experience:

• Constant watering of the eyes (epiphora)
• Sticky discharge or recurrent infections
• Swelling near the inner corner of the eye
• Pain or redness during acute infection

While temporary infections may respond to medication, structural blockage of the tear duct often requires a surgical solution. This is where Dacryocystorhinostomy (DCR) becomes important.

Dacryocystorhinostomy is a procedure designed to create a new drainage pathway between the lacrimal sac and the nasal cavity, bypassing the blocked duct. The goal is to restore normal tear flow and prevent recurrent infections. The procedure may be performed externally through a small skin incision or endoscopically through the nasal passage, depending on the case and anatomical considerations.

In Dubai, environmental factors such as chronic sinus inflammation, dust exposure, and allergies can contribute to lacrimal blockage. Early diagnosis is essential to prevent repeated infections or abscess formation. A detailed evaluation typically includes clinical examination and, in some cases, imaging to assess the site of obstruction.

DCR surgery has a high success rate when performed appropriately. Most patients experience significant improvement in tearing and reduced infection episodes. Recovery is generally well tolerated, and patients can resume normal activities after the advised healing period.

Chronic tearing should never be ignored, especially if associated with pain or discharge. Persistent symptoms often indicate an underlying blockage that will not resolve with eye drops alone. Timely consultation helps prevent complications and ensures appropriate surgical planning if required.

For evaluation and management of lacrimal diseases in Dubai, Dr. Sonam Angmo Garg (MBBS, MS, DNB, FAICO), Cataract Surgeon and Medical Retina Specialist, provides comprehensive eye care services at Dubai Investment Park-1, Dubai. For appointments, contact info@eyeconsultantdubai.com or call +971 54 759 9386.

Early diagnosis and structured management can restore comfort and protect long-term ocular health.