DCT Surgery (Dacryocystectomy)

Permanent Relief from Chronic Tear Duct Infections

Persistent watering, recurring infections, and painful swelling near the inner corner of the eye — these are signs that the tear sac may be chronically infected or damaged beyond repair. Dacryocystectomy removes the affected tear sac entirely, bringing lasting relief to patients who have been suffering with this problem for far too long.

Understanding the Tear Drainage System

Tears drain from the eye through small channels into the lacrimal sac — a small pouch at the inner corner of the eye. From there they flow down through a duct into the nose. When this sac becomes chronically infected or blocked, it fills with bacteria and pus, causing pain, swelling, and repeated infections. When the sac is too damaged to be saved, removing it entirely is the most effective and permanent solution.

Symptoms That May Mean You Need This Surgery

• Constant watering or excessive tearing from the eye
• Recurring swelling, redness, and pain near the inner corner of the eye
• Pus or discharge from the eye, particularly in the morning
• A visible lump or swelling between the eye and the nose
• Infections that keep coming back despite repeated antibiotics
• Previous tear duct procedures that have not resolved the problem

What Happens During the Procedure?

Step 1 — Anaesthesia

The procedure is performed under local or general anaesthesia so you are completely comfortable and pain-free throughout.

Step 2 — The Incision

A small, carefully placed incision is made near the inner corner of the eye to access the lacrimal sac beneath the skin.

Step 3 — Removing the Tear Sac

The damaged lacrimal sac is carefully separated from surrounding tissue and removed completely. The surgeon takes care to protect all neighbouring structures throughout.

Step 4 — Closing

The incision is closed neatly with fine sutures. The procedure takes around 30 to 45 minutes and you can go home the same day.

After Surgery

Some bruising and swelling are expected in the first week and resolve naturally. Antibiotic and anti-inflammatory drops are prescribed. Stitches are removed within one to two weeks. Once healed, the chronic pain, swelling, and recurring infections will be gone permanently.

Why Patients Trust RGC Eye Hospital

• Specialist oculoplastic surgeons with extensive experience in tear duct conditions
• Careful, thorough aftercare to support smooth and comfortable healing
• High patient satisfaction — most experience complete and lasting relief
• A warm and supportive team throughout every stage of your care