The nasolacrimal duct carries tears from the eye into the nose. When it is blocked, tears overflow onto the cheek and the stagnant tear sac can become infected.
In adults, blockage is usually acquired; in babies, it is often a congenital blockage that many outgrow in the first year. Because a persistently watering, sticky eye can also signal infection, it is worth having it assessed rather than living with it.
Nasolacrimal duct obstruction · Congenital blocked tear duct · Watering eye
Oculoplasty & Lacrimal (Tear-Duct) Surgery
The same problem — tears that cannot drain — looks and behaves differently in an adult and in a baby, and each needs a different approach.
The duct narrows or closes over time, so tears back up and the eye waters constantly. The stagnant tear sac can become infected, causing a tender, red swelling at the inner corner. In adults, the blockage rarely opens on its own and is fixed with DCR surgery.
The duct has not fully opened at birth, so the eye looks constantly watery and sticky. Many clear on their own within the first year, helped by gentle tear-duct massage. If it persists or keeps getting infected, a simple probing opens the duct.
Treatment depends on age and cause — from gentle massage and probing in babies to definitive DCR surgery in adults, with any infection settled first.
Gentle tear-duct massage first, as most congenital blockages settle in the first year. If it persists, a quick probing and syringing opens the duct.
Syringing confirms the blockage, and DCR surgery creates a new drainage channel between the tear sac and the nose — the definitive fix, often with no skin scar.
About DCR surgeryIf the tear sac is infected, antibiotics settle the infection before any definitive procedure, supported by warm compresses to ease the swelling.
In adults, the blockage is bypassed with dacryocystorhinostomy (DCR) — a new drainage channel is created between the tear sac and the nose, and it can be performed through the nose with no skin scar.
The right treatment, its benefits and any risks depend on the age of the patient, the cause and stage of the blockage and overall eye health, and can only be determined after a detailed evaluation with our doctors.
Indicative ranges, subject to consultation — probing for babies is far less than adult DCR. Blocked tear duct treatment is medically necessary and usually covered by insurance, subject to your policy — we help with pre-authorisation.
Tear-duct surgery in adults and children is sub-specialist work. Here it is led by an internationally trained oculoplastic surgeon, in an accredited hospital built for it.
Internationally trained sub-specialist — an oculoplastic surgeon (AIIMS + Leicester, UK) practising exclusively in eyelid, tear-duct and orbital surgery.
Reconstructive and cosmetic expertise under one roof — a NABH-accredited hospital with three modular operation theatres and an in-patient ward.
20+ years of institutional experience — 1.2 lakh+ surgeries performed at the centre, across every eye speciality.
Affordable, supported access — cashless insurance for medically necessary procedures, Easy EMI and government schemes.
Oculoplasty, tear-duct & ocular aesthetics · AIIMS + Leicester, UK
An internationally trained oculoplastic surgeon who practises exclusively in periocular plastic and reconstructive surgery. MBBS at Maulana Azad Medical College and MD in Ophthalmology at Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS New Delhi (Best Senior Resident, 2012), followed by an Oculoplasty & Ocular Aesthetics fellowship at Leicester University, UK.
View Full ProfileThe questions parents and adults ask us most about a blocked tear duct. For anything specific to your eyes, a consultation gives the clearest answer.
Medically reviewed by Dr. Saurbhi Khurana and the medical team at Dayal Eye Centre · Last reviewed: 29 July 2026 · Editorial Policy