When Watery Eyes Need More Than Just Tissues

Excessive tearing, medically known as epiphora, might seem harmless at first. But for many individuals, it becomes a daily frustration that interferes with reading, driving, work, and social interaction. Whether you’re constantly wiping your eyes or experiencing blurred vision due to persistent moisture, there’s likely an underlying cause. One of the most effective long-term solutions for blocked tear ducts is Lactoplasty, a minimally invasive procedure available at iSurgeon.

This blog explains Lactoplasty, who needs it, how it works, and what to expect from diagnosis through recovery.

Understanding Epiphora: When Tears Don’t Drain Properly

The eyes produce tears to stay lubricated, protect against infection, and wash away debris. Normally, tears drain through small openings (puncta) into the nasolacrimal duct, which leads to the nose. Tears overflow onto the cheeks when this drainage system is blocked or narrowed, causing watery, irritated eyes even without emotion or wind.

This condition is called epiphora, which can occur occasionally or persistently in one or both eyes.

Common Causes of Tear Duct Blockage

Blocked tear ducts can occur at any age but are more common in older adults. Some of the common causes include:

• Age-related narrowing of the tear drainage system
• Chronic infections or inflammation in the tear duct
• Facial trauma or nasal fractures
• Previous nasal or sinus surgery that altered the anatomy
• Tumours or cysts affecting tear drainage
• Congenital blockages in infants

At iSurgeon, we use advanced imaging and tear-flow assessments to identify the exact cause and location of the obstruction.

Symptoms That May Indicate You Need Lactoplasty

The most apparent symptom is excessive tearing, but it’s often accompanied by:

• Blurry vision due to tear film over the eyes
• Recurrent eye infections
• Redness or swelling near the inner eye
• Sticky discharge, especially upon waking
• Pain or tenderness in the tear duct area
• Sensitivity to wind or cold
• Skin irritation from constant wiping

If these symptoms are frequent or chronic, an iSurgeon consultation can determine whether you’re a candidate for Lactoplasty or other treatments.

What is Lactoplasty?

Lactoplasty is a minimally invasive surgical procedure to open blocked tear ducts and restore natural drainage. It can be performed on adults with acquired tear duct obstructions or children with persistent congenital blockages that haven’t resolved with time or non-surgical methods.

There are several techniques for performing Lactoplasty, including:

1. Balloon Dacryoplasty: A tiny balloon catheter is inserted into the tear duct and inflated to dilate the blockage.
2. Intubation (Stenting): A soft silicone tube is placed in the duct to maintain patency during healing.
3. Endoscopic DCR (Dacryocystorhinostomy): An internal bypass is created from the tear sac to the nasal cavity using a nasal endoscope.
4. External DCR: A small incision is made on the side of the nose to reroute tear flow directly into the nasal passage.

The choice of method depends on the cause, location, and severity of the blockage, as well as patient anatomy.

Diagnosis and Pre-Surgical Assessment at iSurgeon

Before recommending Lactoplasty, your iSurgeon specialist will conduct a full examination, which may include:

• Slit-lamp exam: To assess tear film and punctal health
• Tear drainage tests, Such as the fluorescein dye disappearance test
• Lacrimal irrigation (syringing): To check for physical obstruction
• Dacryocystography: Imaging of the lacrimal system using contrast dye
• Nasal endoscopy: To evaluate internal nasal anatomy
  CT or MRI scans: In complex or trauma-related cases

This thorough approach ensures an accurate diagnosis and a treatment plan tailored to your unique needs.

What to Expect During the Procedure

Lactoplasty is typically performed as an outpatient procedure under local anaesthesia with sedation, or in some cases, general anaesthesia.

Here’s a general outline of what to expect:

1. Preparation: The area is numbed and sterilised.
2. Access: A small probe or balloon catheter is inserted into the tear duct through the punctum.
   Dilation or Stenting: The duct is opened using balloon inflation or a tiny silicone tube.
3. Bypass (if needed): If the blockage is lower in the system, a bypass may be created between the tear sac and the nasal cavity.
4. Closure: There are usually no stitches unless an external incision is used.

The process usually takes 30–60 minutes, and most patients go home the same day.

Recovery and Aftercare

Post-operative care is simple. Patients may experience:

• Mild discomfort or bruising around the eye
• Temporary tearing or bloody nasal discharge
• Swelling near the inner corner of the eye
• Use of antibiotic or anti-inflammatory eye drops
• A follow-up visit to remove stents if placed (usually 4–6 weeks later)

Most people return to normal activities within a few days. During the initial healing period, avoid strenuous exercise and nose blowing.

Success Rates and Long-Term Outlook

Lactoplasty has a high success rate, with most patients experiencing immediate and lasting relief from tearing. Success depends on several factors, including:

• The location and cause of the blockage
• The chosen surgical method
• Proper post-op care
• Underlying health conditions

At iSurgeon, we monitor each patient closely to ensure optimal healing and long-term effectiveness.

Alternatives to Lactoplasty

If Lactoplasty is not suitable, other treatments may include:

• Punctal plugs or cautery: For tear overflow due to punctal eversion
• Topical anti-inflammatory or antibiotic therapy for infection-based cases
  Botox injections for tearing due to overactive tear glands (rare)
• Observation and massage: Often used in infants under 12 months of age

Every case is different. Your iSurgeon consultant will clearly explain your options and recommend the best course of action.

iSurgeon’s Specialised Approach

At iSurgeon, our approach to treating watery eyes is:

• Evidence-based: Using proven techniques backed by clinical research
• Minimally invasive: Favouring less traumatic methods with faster healing
• Patient-centred: Customising care plans around your symptoms, lifestyle, and preferences
  Technologically advanced: Equipped with endoscopic and imaging tools for precision diagnostics
• Compassionate and thorough: From the initial consultation to your last follow-up

With Edenvale, Southgate Mall and Harare clinics, we offer convenient, world-class care close to home.

When Should You Seek Help?

You should book a consultation at iSurgeon if you experience:

• Constant watery eyes that don’t improve
• Recurrent infections or sticky discharge
• Skin irritation from wiping
• Blurred vision from tear overflow
• Swelling or pain in the inner corner of the eye

Don’t let chronic tearing go untreated. The solution may be simpler than you think and can dramatically improve your comfort and confidence.

Clear Vision and Comfort Are Within Reach

Persistent tearing doesn’t have to be part of your daily life. Lactoplasty offers a safe, effective solution to restore natural tear drainage and improve your quality of life. At iSurgeon, we’re here to help you see clearly, comfortably, and confidently with expert diagnosis and personalised treatment plans.

Book Your Tearing Eye Assessment at iSurgeon Today.
Let’s stop the tears and start your journey to better eye health.