Specialised treatment for tear drainage disorders and lacrimal system inflammation.
What Is Lacrimal Disease?
Lacrimal disease refers to a range of disorders affecting the tear-producing and tear-draining system of the eye.
The lacrimal gland, which produces tears, can become inflamed due to ageing, autoimmune conditions, or complications following bone marrow transplants. Disorders in the tear drainage system can cause symptoms such as excessive tearing, discharge and infections.
Conditions That May Require Lacrimal Surgery
Dacryoadenitis (Inflammation of the Lacrimal Gland)
Dacryoadenitis is often caused by viral or bacterial infections and results in swelling and inflammation of the lacrimal gland. Patients typically present with symptoms such as:
- Conjunctival hyperaemia (red eye)
- S-shaped drooping of the upper eyelid (ptosis)
- Mucopurulent discharge
- Localised discomfort or pain
Treatment depends on the underlying cause and may involve medications or, in persistent cases, surgical intervention.
Dacryostenosis (Tear Duct Obstruction)
Dacryostenosis refers to narrowing or congenital blockage of the nasolacrimal duct. It most commonly presents as persistent watering of the eye (epiphora). In some cases, the stagnant tears can lead to secondary infection of the lacrimal sac (a condition known as dacryocystitis) which may present with swelling, redness, and discharge near the inner corner of the eye.
Lacrimal Surgery
Surgery may be recommended to restore proper tear drainage or relieve inflammation. Procedures include:
- Dacryocystorhinostomy (DCR): A surgical procedure to create a new tear drain between the eye and nose, typically performed for blocked tear ducts.
- Probing and irrigation: Often used in infants with congenital nasolacrimal duct obstruction.
- Lacrimal gland biopsy or excision: In rare cases of persistent inflammation or suspected tumours.
All procedures are carefully planned by your ophthalmic specialist and discussed thoroughly during consultation.
Risks and Recovery
As with any surgical procedure, lacrimal surgery carries potential risks and requires a period of recovery. At Newcastle Eye Centre, our specialists take every precaution to ensure patient safety and optimal outcomes.
Risks
Possible risks of lacrimal surgery may include:
- Infection or bleeding
- Scarring
- Bruising or swelling near the eye
- Blockage or failure of the new tear drainage passage (in DCR procedures)
- Recurrence of symptoms, requiring revision surgery
Recovery
Recovery from lacrimal surgery:
- Patients may experience some tearing, discomfort, or nasal discharge in the days following surgery.
- Bruising and swelling typically resolve within 1–2 weeks.
- You may be prescribed eye drops or antibiotics to reduce inflammation and prevent infection.
- Follow-up appointments are scheduled to monitor healing and ensure surgical success.
- In most cases, patients can return to light activities within a few days, but should avoid strenuous activity for at least one week or as directed by their surgeon.
Our team will provide personalised post-operative care instructions and remain available to support you through the recovery process.
Clinical Disclaimer
The information provided on this page is for general educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Every individual’s condition is unique, and the details presented here may not apply to your personal situation. Always consult with a qualified healthcare provider regarding any questions or concerns you have about your health or treatment options. Reliance on this information is solely at your own risk.