Retreatment
Persistent tearing or recurrent discharge when impaired lacrimal drainage is suspected.
Related services
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About the service
Oculoplastic and lacrimal surgery address eyelid position and tear drainage. The method is chosen after assessing the cause of symptoms, the site of the problem and the ocular surface.
Who the service is for
Recurrent lacrimal-sac inflammation
Recurrent dacryocystitis after the acute inflammatory episode has been controlled and obstruction is confirmed.
Upper-eyelid position
Upper-lid ptosis that obstructs the pupil or limits the visual field.
Eye injury
Entropion or trichiasis causing lash contact with the cornea. For eyelid malposition, mention previous blepharoplasty , tumor removal, burns, facial nerve palsy and any condition affecting eyelid closure.
Optical correction
Ectropion associated with irritation, tearing or punctal eversion.
Scarring
Scar-related or post-traumatic deformity of the eyelid, medial canthus or lacrimal canaliculi.
Preparation for an ocular prosthesis
Need for conjunctival socket or adnexal reconstruction before ocular prosthetic fitting.
Recurrent lacrimal-sac inflammation
Treatment depends on the cause and stage. In acute dacryocystitis, infection and inflammation are treated first, and definitive restoration of drainage is planned after stabilization. A tumour, severe trauma, orbital disease or complex nasal anatomy may require multidisciplinary care.
Results and medical records
Bring prior ophthalmology notes, operative reports, trauma records and a list of current eye drops.
Eye injury
For tearing, report whether it is constant, whether there is purulent discharge, pain or swelling at the inner corner of the eye, and whether you have had nasal trauma or surgery around the nose or eyelids.
Do not change medicines yourself
Tell the surgeon about anticoagulants, antiplatelet medicines and other systemic medication, but do not stop them on your own.
Individual treatment choice
The exact laboratory checklist must come from KazRIED after the operation and anesthesia plan are chosen.
Reduced vision
Fresh medial eyelid trauma, vision loss , major bleeding or painful swelling over the lacrimal sac requires prompt assessment rather than routine booking.
Limitations and safety
Treatment depends on the cause and stage. In acute dacryocystitis, infection and inflammation are treated first, and definitive restoration of drainage is planned after stabilization. A tumour, severe trauma, orbital disease or complex nasal anatomy may require multidisciplinary care. Urgent assessment is needed for severe pain and rapidly increasing swelling at the inner corner of the eye, fever, impaired eye movement, reduced vision, deep eyelid trauma or injury to the medial eyelid with possible canalicular rupture.
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Stages
Stage 1
Surgical consultation
The main problem is defined: eyelid malposition, tissue defect, tearing, discharge, trauma or prosthetic-socket issue.
Stage 2
Eyelid and surface examination
Closure, lid margin, corneal protection and possible dry-eye contribution are assessed.
Stage 3
Lacrimal drainage testing.
Irrigation, probing or imaging is added when indicated.
Stage 4
Procedure selection.
Eyelid deformity is classified by mechanism; lacrimal disease by the anatomical level of stenosis or injury.
Stage 5
Preoperative assessment.
Tests, consultations and anesthesia are determined by the selected operation and KazRIED protocol.
Stage 6
Surgery
This may involve eyelid or canalicular reconstruction, intubation or DCR.
Stage 7
Postoperative review
The doctor assesses healing, eyelid position, the cornea and lacrimal drainage patency; if a stent has been placed, its position and the timing of removal are also reviewed.
Service benefits
Fewer obstacles to vision
Correction can reduce visual obstruction caused by overhanging tissue or abnormal eyelid position.
A fresher appearance
Correcting age-related eyelid changes and asymmetry can create a more open, rested appearance.
Protecting the ocular surface
Treatment aims to reduce corneal irritation and restore eyelid protection according to the cause of the problem.
Reduced watering
Restoring drainage can reduce persistent tear overflow when impaired tear drainage is the cause.
Methods comparison
Clinical decision point
Primary goal
Intranasal work
Implant / stent
Main selection factor
Typical patient goal
Can one be ranked as best?
Ptosis / eyelid reconstruction
Restore eyelid height or anatomy
Usually no
Not always
Cause, levator function, scarring
Visual field, closure, symmetry
No
Entropion / ectropion repair
Re-establish normal lid-margin position
No
Not always
Mechanism and horizontal laxity
Corneal protection, less irritation
No
Canalicular repair
Restore proximal lacrimal channel
Usually no
Often in trauma
Level and type of laceration/stenosis
Preserve natural tear pathway
No
DCR
Create a new sac-to-nose pathway
Possible with endonasal approach
May be used
Level of obstruction, sac and nasal anatomy
Reduce tearing and recurrent dacryocystitis
No
Intubation
Temporarily support lumen patency
Depends on technique
Yes, temporary tube
Need for temporary patency support
Reduce restenosis risk
No
Primary goal
Ptosis / eyelid reconstruction
Entropion / ectropion repair
Canalicular repair
DCR
Intubation
Restore eyelid height or anatomy
Re-establish normal lid-margin position
Restore proximal lacrimal channel
Create a new sac-to-nose pathway
Temporarily support lumen patency
Usually no
No
Usually no
Possible with endonasal approach
Depends on technique
Not always
Not always
Often in trauma
May be used
Yes, temporary tube
Cause, levator function, scarring
Mechanism and horizontal laxity
Level and type of laceration/stenosis
Level of obstruction, sac and nasal anatomy
Need for temporary patency support
Visual field, closure, symmetry
Corneal protection, less irritation
Preserve natural tear pathway
Reduce tearing and recurrent dacryocystitis
Reduce restenosis risk
No
No
No
No
No
Service options
Upper eyelid ptosis correction
Blepharoptosis correction aims to restore the position of a drooping upper eyelid.
Learn moreEntropion and ectropion correction
Entropion or ectropion correction restores a more appropriate eyelid position and helps protect the ocular surface.
Learn moreDacryocystorhinostomy (DCR)
Dacryocystorhinostomy creates a new drainage route from the lacrimal sac into the nose.
Learn more
Book an appointment
Book a KazRIED ophthalmic-surgeon consultation for eyelid or lacrimal disease. The clinician can determine whether symptoms arise from eyelid position, ocular-surface disease or mechanical drainage obstruction and then select the appropriate surgical pathway.
Procedure prices
Service name
Price
Reconstructive plastic surgery of lower eyelid (per eye)
from 218 000 ₸
Reconstructive plastic surgery of the upper eyelid (per eye)
from 204 000 ₸
Reconstructive plastic surgery of upper and lower eyelids (per eye)
from 315 000 ₸
Dacryocystorhinostomy (per eye)
from 192 000 ₸
Lacrimal canalicular plasty, one canaliculus (per eye)
from 204 000 ₸
Canalicular repair, PVP Mini Monoka FAET&BERNARD (per eye)
from 387 000 ₸
Canalicular repair, Mini Monoka FAET&BERNARD (per eye)
from 322 000 ₸
Nasolacrimal duct intubation (per eye)
from 72 000 ₸
Nasolacrimal duct probing (per eye)
from 24 000 ₸
Lacrimal irrigation (per eye)
from 3 900 ₸
Contrast radiography of the lacrimal drainage system (per eye)
from 11 500 ₸
Reconstructive surgery of the ocular adnexa (per eye)
from 238 000 ₸
Repeat reconstructive surgery of the ocular adnexa (per eye)
from 256 000 ₸
Our doctors
A team of experienced doctors across specialties.
Experience: 18 years
Head
Sultankulova Banu Tastemirovna
Highest-category ophthalmologist
Experience: 27 years
Ophthalmologist
Ospanova Gulnara Muratovna
Highest-category ophthalmologist
Experience: 10 years
Ophthalmologist
Abilova Gulstan Kunshygharqyzy
Experience: 7 years
Ophthalmologist
Sukbay Akbota Darkhanovna
Second-category ophthalmologist
Oculoplastic and lacrimal surgery
Oculoplastic surgery helps restore eyelid position and function. Eyelid position affects corneal protection, tear film distribution, and the lacrimal pump.
Blepharoptosis, entropion, ectropion, lagophthalmos, and scar-related deformities may require reconstructive surgery for functional reasons.
How is the cause of excessive tearing identified?
Excessive tearing may result from nasolacrimal duct obstruction, punctal malposition, lacrimal pump weakness, dry eye, or inflammation.
Lacrimal irrigation, probing, and imaging are performed when indicated. KazRIED’s price list includes contrast radiography of the lacrimal drainage system.
If irrigation confirms that the drainage system is patent, functional causes and ocular surface disease should be assessed. Nasolacrimal duct surgery should not be planned automatically in this situation.
Which operations may be needed?
- Dacryocystorhinostomy (DCR): for distal nasolacrimal duct obstruction, a new connection is created between the lacrimal sac and the nasal cavity.
- Lacrimal canalicular reconstruction: anatomical continuity is restored, sometimes with temporary silicone intubation.
- Eyelid reconstruction: eyelid position and deformity are corrected according to the cause and tissue condition.
The need for intubation, surgical technique, and consumables depends on the clinical situation.
When is anatomical assessment particularly important?
- After trauma to the inner eyelid corner: early canalicular assessment is needed. Simply suturing the skin does not restore tear drainage.
- With ectropion and excessive tearing: treating the tear duct alone may not resolve the problem if the punctum is everted.
- With ptosis or deformity after previous surgery: repeat reconstruction requires assessment of scarring and anatomical layers.
- Before fitting an ocular prosthesis: eyelid or conjunctival socket deformity may require preliminary reconstructive surgery.
Which procedures are listed at KazRIED?
- Lower eyelid reconstructive surgery: the surgeon determines the specific extent.
- Upper eyelid reconstructive surgery: its goals and extent may differ from cosmetic blepharoplasty.
- Repeat reconstructive surgery of the ocular adnexa: a separate item for repeat procedures.
How is treatment selected?
Selection begins with identifying the anatomical and functional cause of the symptom. Eyelid deformity may be age-related, scar-related, paralytic, or post-traumatic.
The pathway includes symptom assessment, diagnostic testing, localization of the problem, selection of a specific operation, and clarification of its fee. No single procedure treats every cause of excessive tearing or eyelid deformity.
Facts and offers
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Frequently asked questions
What is oculoplastic surgery?
Oculoplastic surgery includes surgical treatment of disorders and deformities of the eyelids, orbit and other ocular adnexal structures. Procedures may be functional, reconstructive or aesthetic depending on the condition.
What is included in lacrimal surgery?
It includes surgery of the puncta and canaliculi, probing and irrigation, silicone intubation, canalicular reconstruction after trauma and dacryocystorhinostomy for selected lacrimal drainage obstructions.
How can tearing from lacrimal obstruction be recognized?
Persistent tears overflowing onto the cheek, an increased tear meniscus, recurrent mucus or discharge, swelling near the inner canthus or episodes of dacryocystitis can suggest obstruction. Lacrimal drainage testing is needed to confirm the cause.
What is dacryocystorhinostomy?
Dacryocystorhinostomy, or DCR, creates a new drainage pathway from the lacrimal sac directly into the nasal cavity, bypassing an obstructed nasolacrimal duct.
How do external and endonasal DCR differ?
External DCR approaches the lacrimal sac through a small skin incision near the inner canthus. Endonasal DCR is performed through the nasal cavity without an external skin incision. Selection depends on anatomy, the cause of obstruction and other factors.
When is silicone lacrimal intubation used?
Silicone intubation is used for selected stenoses, repair of injured canaliculi, some reconstructive procedures and certain forms of lacrimal obstruction. Its role depends on the site and cause of impaired drainage.
What is canalicular repair?
It is surgical reconstruction of a canaliculus that carries tears from the punctum toward the lacrimal sac. It is particularly important after traumatic canalicular laceration. A temporary silicone stent may be used during healing.
Is nasolacrimal probing only performed in children?
It is most commonly used for congenital nasolacrimal duct obstruction in children. Adult obstruction has different causes, so evaluation and treatment depend on the site and cause and often follow a different pathway.
Which eyelid procedures are considered oculoplastic surgery?
They include correction of ptosis, entropion, ectropion, trichiasis and cicatricial deformities, eyelid reconstruction after trauma or lesion removal and other reconstructive procedures involving the ocular adnexa.
Why should entropion be treated?
In entropion, the eyelid margin and eyelashes turn toward the ocular surface and can repeatedly injure the conjunctiva and cornea. This can cause foreign-body sensation, erosions, inflammation, scarring and more serious corneal damage in severe cases.