(Tear Duct Surgery)

If epiphora, watering of the eye, becomes a persistent problem you may need tear duct surgery, but it is always essential to consult a Rhinologist immediately for an accurate diagnosis and treatment plan. To determine if tear duct surgery (dacryocystorhinostomy, DCR) is needed, a nasal endoscopy (looking inside the nose with a small camera) is essential to better assess the problem and determine if there is a tear sac or lacrimal duct infection. Often there is discolored drainage noted inside the nose where the lacrimal duct opens. The lacrimal drainage system may need to be flushed and irrigated to restore patency. A fluorescein (a colored dye) test may be performed to assess if there is adequate movement of tears from the eye into the nose via the lacrimal duct system. If there is inadequate drainage of the colored dye then a procedure called an endoscopic dacryocystorhinostomy (DCR) is performed to open the tear duct.

This procedure is performed by opening the tear duct from inside the nose with an endoscope and restoring the normal drainage pathways without any visible facial incisions or scars. The key is choosing an approach tailored to the severity and cause(s) of your epiphora. There is not one single solution that is correct for every patient, and that’s why Houston Advanced Nose & Sinus is unique. Dr. Kuperan’s super specialized expertise and experience as a Rhinologist will make sure you get the best treatment to quickly resolve your epiphora.

Lacrimal glands


DCR, Tear Duct Surgery, at Houston Advanced Nose & Sinus is a unique experience. Every procedure is performed using the latest cutting-edge technology by Dr. Kuperan, who is one of the few fellowship certified nose and sinus experts in all of Texas. In addition, the procedure is done using an endoscope (small camera) in the nose that allows for superior visualization of the entire lacrimal system it is all done through the natural nostril opening without any visible cuts or scars. You will then recover in our restorative health suites that are luxurious hotel rooms coupled with attentive nursing care. This is a highly advanced and technically challenging procedure that is typically only performed by fellowship certified sinus experts. If you are interested in a medial orbital decompression evaluation, call (823) 720-NOSE or email us.