Blocked Tear Duct

Acute

What is Blocked Tear Duct?

Blocked tear ducts occur when your nasolacrimal passages cannot drain tears as they should. If you have a blocked tear duct, you may have watery, irritated eyes. Some newborns have blocked tear ducts that often heal without treatment. In adults, treatment may include flushing out the tear duct or surgery

  • Excessive tearing.
  • Redness of the white part of the eye.
  • Recurrent eye infection or inflammation, known as pink eye.
  • Painful swelling near the inside corner of the eye.
  • Crusting of the eyelids.
  • Mucus or pus discharge from the lids and surface of the eye.
  • Blurred vision.

Tear duct blockage may lead to an infection (dacryocystitis) in part of the nasolacrimal duct called the lacrimal sac. Most often, there is a bump on the side of the nose right next to the corner of the eye. Treatment for this often requires oral antibiotics. Sometimes, the sac needs to be surgically drained.

  • Congenital blockage. Many infants are born with a blocked tear duct.
  • Age-related changes. As you age, the tiny openings that drain tears, called puncta, may get narrower, causing blockage.
  • Infection or inflammation.
  • Injury or trauma.
  • Tumor.
  • Eye drops.
  • Cancer treatments.

Many cases cannot be prevented. Proper treatment of nasal infections and conjunctivitis may reduce the risk of having a blocked tear duct. Using protective eyewear may help prevent a blockage caused by injury.

As you age, the tiny openings that drain tears, called puncta, may get narrower, causing blockage. Infection or inflammation. Long-standing infection or inflammation of your eyes, tear drainage system or nose can cause your tear ducts to become blocked. Injury or trauma.

How is it diagnosed?

How is it diagnosed?
  • Medicines to fight infection. If your provider suspects that an infection is present, antibiotic eye drops or pills may be prescribed.
  • Watch-and-wait or massage.
  • Dilation, probing and flushing.
  • Stenting or intubation.
  • Balloon catheter dilation.

How is it treated?

Treatment for acute myeloid leukemia is vital. It varies with the patient and stage of the disease. Treatment options include

Probing using a thin metal instrument: The ophthalmologist gently passes a thin metal instrument (probe) through the tear duct to open the blockage. Then they flush the duct with sterile water to make sure the pathway is clear. This is the procedure most often used for blocked tear ducts.

 

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