Lacrimal Diseases and Surgery

The lacrimal system is the area of your eye and eyelids that controls tear production, distribution, and drainage. If there is a problem with any of these, you can experience tearing. The oculoplasty ophthalmologist treats all lacrimal diseases, including:

• Dry eye syndrome (keratoconjunctivitis sicca)
• Meibomian gland dysfunction (clogged oil glands on the eyelid)
• Chalazion (a small lump in the gland of an eyelid)
• Blepharitis (scaly, dandruff-like material along your eyelashes)
• Eyelid malposition – eyelashes turning out, inward, or lateral canthal tendon disinsertion
• Trichiasis (eyelashes touching the eye)
• Lagophthalmos (inability to close the eyelids)
• Punctal stenosis (small opening to tear drain)
• Canalicular or nasolacrimal duct obstruction (blocked tear drain)
• Canaliculitis (infection of tear drain)
• Dacryocystitis (infection of tear sac)
• Lacrimal system malignancies

While they vary according to the specific condition, symptoms of lacrimal disease can include:

• Blurred vision
• Burning, stinging, or a gritty sensation
• Itching
• Light sensitivity
• Redness in the eyes
• Swelling of the eyelid
• Tearing – continuous or intermittent
• Watery eyes
• Yellowish discharge

Tests

Comprehensive Exam – Your doctor will conduct a thorough physical examination of your eyes – as well as gather a complete health history – to determine if you have a lacrimal disorder.

Treatments

Conservative Treatment – Warm compresses and eyelid scrubs can help treat clogged oil glands and clear dandruff-like material off the eyelashes.

Artificial Tears – Over-the-counter eye drops – such as artificial tears – can help provide soothing (yet temporary) relief for symptoms, such as burning and itching.

Ointment – Your ophthalmologist may prescribe an ointment that you can apply at night to help manage the symptoms of your lacrimal condition.

Antibiotics – Your doctor will prescribe an antibiotic medicine to clear any infection that has caused your lacrimal disorder.

Dacryocystorhinostomy (DCR) Procedure – If you have a tear duct obstruction, you may need to undergo surgery to create a new tear duct – called a dacryocystorhinostomy (DCR) – that will alleviate the tears flowing onto your face.

Dacryology deals exclusively with watering of the eyes and disorders of the tear drainage. Any disorders affecting this system can lead to impaired tear flow with resultant watering, infections (Dacryocystitis) and sometimes even orbital infections. At Angel Eyes, the tear duct is evaluated thoroughly not only from the eye side, but also through the nose. We use Dacryoendoscopy techniques to diagnose problems within the tear duct passage. Angel Eyes has a state of art Dacryology set up with High-definition endoscopic visualization, self-irrigating endoscopes, which are the latest and safest techniques in this field.

DCR or dacryocystorhinostomy is a surgical procedure that creates an alternate new pathway for irreversible tear duct obstruction, thereby relieving watering. It can be performed via skin approach, or through the nose using special endoscopes. Tear duct surgeries are covered by Insurance.

Other Surgical Procedures – If you have a chalazion (lump), you may need to undergo an in-office surgical procedure to remove it. The chalazion is drained from the inside of your lid after your surgeon injects a small amount of local anaesthetic.

If your eyelids are not in the proper position, you may need to undergo surgery to correct this so that you can close your eyes and blink your eyelids better.

If eyelashes are rubbing against the surface of your eye, your doctor will discuss with you, options to permanently remove the lash follicle, including electrolysis and freezing therapy.