Understanding Blocked Tear Ducts

Blocked tear ducts can cause persistent tearing, infections, and discomfort. When tears cannot drain properly, they may overflow onto the face or lead to recurrent eye infections. Dacryocystorhinostomy (DCR) is a surgical procedure designed to restore proper tear drainage by creating a new pathway between the tear sac and the nasal cavity.

Dacryocystorhinostomy (DCR) showing the tear drainage system

What Is Dacryocystorhinostomy (DCR)?

Dacryocystorhinostomy (DCR) is a surgical procedure that bypasses a blocked tear duct. It connects the tear sac directly to the nasal cavity, allowing tears to drain normally. This relieves symptoms like excessive tearing, pain, and infections. Surgeons perform DCR using external or endoscopic techniques based on the patient’s needs.

The DCR Procedure

During DCR, the surgeon creates a small opening between the tear sac and nasal cavity. This allows tears to flow directly into the nose. The procedure typically takes 1 to 2 hours under general anesthesia. Most patients return home the same day or the next.

Benefits and Recovery

DCR successfully restores normal tear drainage and reduces infection risks. After surgery, patients may experience mild swelling or bruising, which usually fades within a week or two. Full recovery takes a few weeks. Patients should avoid strenuous activities and follow post-operative care instructions.


If you are unsure whether your symptoms require emergency attention, it is safer to call your healthcare provider or eye clinic for advice.

With Pakistan’s internationally trained and most experienced cataract surgeons, corneal transplant surgeons and eye surgeons specializing in every single sub specialty in ophthalmology, The Eye Center – Dr. Mahnaz Naveed Shah & Associates in Karachi provides guidance for both routine and urgent eye care needs. Their team can advise whether you should schedule a screening or seek immediate attention, ensuring safety and comfort. For expert consultation, contact The Eye Center – Dr. Mahnaz Naveed Shah & Associates at 03041119544 to book an appointment.

With a proven track record of excellence in glaucoma and cataract care, Dr. Mahnaz Shah and her team are here to help you protect your vision—with confidence.