Dacryoliths are small, stone-like deposits that form inside the tear drainage passages. They can partially or completely block the system, leading to watery eyes or tear sac infections.
What dacryoliths are made of
These concretions consist of mucus, skin cells, and mineral salts. They gradually harden and may move within the ducts or tear sac.
- Many are found incidentally during surgery for watery eyes.
- They may be single or multiple and vary in size.
- Long-standing inflammation seems to encourage their formation.
- Symptoms often mimic other causes of epiphora.
- Imaging or probing can sometimes reveal their presence.
Managing dacryolith-related problems
Treatment aims to clear the obstruction and prevent recurrent infections. Approaches are similar to those used for other tear drainage blockages.
- Antibiotics treat active infections of the tear sac or surrounding tissues.
- Surgical exploration allows removal of dacryoliths under direct vision.
- Creating a new drainage route into the nose may be recommended.
- Most people notice rapid improvement in watering after successful surgery.
- Regular follow-up ensures the passage remains open and comfortable.
