Expert Treatment for Tear Duct Abnormalities and Excessive Tearing

Tear duct dysfunction is a common yet often overlooked condition. It can result in chronic tearing, blurred vision, or frequent infections that interfere with daily comfort. Dr. Allison Coombs, a board-certified oculofacial plastic surgeon and ophthalmologist, specializes in diagnosing and treating the full spectrum of tear drainage disorders. 

With extensive experience in tear duct anatomy, Dr. Coombs offers both surgical and non-surgical options tailored to the root cause of your symptoms, not just the surface effects. Her approach combines advanced surgical training with a commitment to functional, minimally invasive solutions.

About Tear Duct Abnormalities

The tear drainage system includes tiny openings in the eyelids (puncta), channels (canaliculi), and the nasolacrimal duct, which drains tears into the nose. When any part of this system is blocked or misaligned, tears can back up onto the surface of the eye, causing overflow, blurry vision, or even recurrent infections.

Causes of tear duct dysfunction include the following:

  • Age-related narrowing or collapse of the tear ducts
  • Chronic inflammation or infection
  • Trauma or facial surgery
  • Congenital issues in children or adults
  • Tumors or growths near the tear drainage system

Accurate diagnosis often requires specialized imaging and testing to identify the location and extent of the blockage.

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Endoscopic Surgical Solutions

For patients requiring surgical correction, Dr. Coombs offers minimally invasive, endoscopic tear duct procedures that restore drainage without external incisions. These advanced approaches, including endoscopic dacryocystorhinostomy (DCR), access the tear duct system through the nasal passage using a small camera and refined instruments.

Endoscopic techniques, which avoid external cuts or visible scarring, provide faster healing, excellent cosmetic outcomes, and high success rates, especially in experienced hands.

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