If your eye constantly tears–even when you’re not emotional or exposed to wind–you could be experiencing a blocked tear duct. This condition, also known as nasolacrimal duct obstruction, can lead to persistent tearing, discomfort, and even infection. Fortunately, a specialized surgical procedure called Dacryocystorhinostomy (DCR) can restore proper drainage and relieve symptoms for good.
As a board-certified oculoplastic surgeon in Irvine, Dr. Melanie Ho Erb offers expert evaluation and treatment for patients suffering from chronic tearing and blocked tear ducts. She performs both external and endoscopic DCR procedures depending on your anatomy, preferences, and medical needs–helping patients across Orange County and Los Angeles return to clear, comfortable vision.
Dr. Melanie Erb is a fantastic physician. Dr. Erb’s thoroughness is outstanding as she meticulously attended to every detail in my situation. I felt that she left no stone unturned in discovering the best plan of action that completely met my objectives. I trust Dr. Erb, and had an all-around positive experience. I will be referring friends and family to her.
What Is Dacryocystorhinostomy (DCR)?
A DCR is a surgical procedure that creates a new pathway for your tears to drain from the eye into the nose–bypassing the blocked nasolacrimal duct. There are two main approaches:
External DCR
- A small incision is made near the side of the nose
- The tear sac is connected directly to the nasal cavity
- Offers high success rate and direct visibility for the surgeon
Endoscopic (Internal) DCR
- No external incision; performed through the nose using a tiny camera
- Less visible scarring, quicker healing, and often preferred for cosmetic reasons
- Not ideal for every patient; Dr. Erb will recommend the best approach for you
Both procedures relieve symptoms of epiphora (excessive tearing) and reduce the risk of recurrent eye infections.
Common Signs You May Need DCR Surgery
- Constant tearing or watery eyes without emotional cause
- Mucus discharge or buildup in the inner corner of the eye
- Eye infections (dacryocystitis) that keep coming back
- Swelling near the side of the nose
- Chronic irritation or blurry vision from excessive moisture
If left untreated, blocked tear ducts can lead to ongoing discomfort and recurrent infections that affect both your vision and quality of life.
What to Expect from DCR Surgery
- Anesthesia: Usually local with sedation, or general if performed endoscopically
- Duration: About 45 to 90 minutes
- Recovery: Mild bruising or swelling for a few days
- Stents: Tiny silicone tubes may be placed temporarily to keep the new passage open
- Results: Most patients experience dramatic reduction in tearing and improved eye comfort
You’ll receive detailed post-operative instructions and follow-up care directly from Dr. Erb to ensure optimal healing.
Frequently Asked Questions About Dacryocystorhinostomy
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Most patients experience only mild discomfort, easily managed with over-the-counter medication. Bruising and nasal congestion may last a few days.
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External DCR scars are very small and typically hidden in the natural skin folds near the nose. Endoscopic DCR has no visible scar.
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Success rates are high–typically over 90%–especially when performed by an experienced oculoplastic surgeon like Dr. Erb.
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No. Silicone stents are usually removed after a few weeks or months, once healing is complete.
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DCR is considered medically necessary and is often covered by insurance. Our office will help verify your benefits and obtain any necessary approvals.
Why Choose Dr. Melanie Ho Erb for Blocked Tear Duct Surgery?
Dr. Erb is a fellowship-trained oculoplastic surgeon, board certified in both Ophthalmology and Oculofacial Plastic Surgery (ASOPRS). With advanced training in tear drainage anatomy and experience performing hundreds of successful DCR surgeries, she offers:
- Expert diagnosis with tear duct probing and irrigation
- Both external and endoscopic techniques, depending on your goals
- Seamless coordination with ENT specialists if needed
- Gentle, precise care for the delicate eye and nasal structures
- Compassionate communication every step of the way
Whether your symptoms are cosmetic, functional, or both–Dr. Erb provides customized treatment options for lasting relief.
Meet Dr. ErbCorrect Blocked Tear Ducts With an Irvine Expert
If frequent infections and eye discharge are interfering with your comfort, vision, or daily life, Dacryocystorhinostomy (DCR) may be the solution. With decades of experience and a compassionate, personalized approach, Dr. Melanie Ho Erb is a trusted provider of tear duct surgery in Orange County.
Schedule your consultation today in Irvine to find out whether DCR is right for you.
Medically reviewed by Melanie Ho Erb, M.D. on