Doctor insights on:
Can A Blocked Tear Duct Be Painful
My top tear duct is swollen and slightly painful to touch. There's no discharge and my eye isn't watery. Could this just be a blocked tear duct?
Chalazion: These are very common. Use warm compresses to your eye 4 times a day for 15 minutes each. After a few weeks, it should completely resolve. One thing to watch out for is infection, which may cause draining of pus, or fevers and chills. If it gets this bad, you need to seek medical attention. Hang in there!! ...Read more
Depends: If in a child you can keep it clean and use massage against the nose to help it open. If in an adult, you need an ophthalmologist to determine whether the block is in the upper or lower system with different treatment for each. You cannot clean it out yourself but can massage to clear out accumulated debris until you get it medically fixed. ...Read more
Drops or surgery: In infants it will sometimes resolve spontaneously. In adults it may resolve with antibiotic drops but may require an office procedure like flushing the duct or may require a surgical procedure called a dacryocystorhinostomy (dcr). A true duct obstruction in an adult will not go away spontaneously and can lead to a serious infection of the soft tissues around the eye that can spread to the brain. ...Read more
Tearing: You need to be evaluated by an ophthalmologist especially one who deals with this all the time. It can be as simple as probing the equivalent of snaking out a blocked pipe like plumber or be as extensive to require exploratory surgery with possible bypass or reconstruction. This is a complex evaluation and can be a sign of other problems causing secondary signs. ...Read more
Tearing: A blocked tear duct is most commonly seen in children under the age of 12 months. It typically presents with a watery eye, occasionally with some mucus. Treatment involves massaging the region overlying the duct, mechanically or surgically opening the duct, or simply observing whether it will open on its own. In older individuals, it almost always requires surgery, if the symptoms are bothersome. ...Read more
Not well developed: Blocked tear duct is quite common in newborn babies, mostly because the duct is still quite small and well-formed yet. Usually after 6 montns or so as the duct enlarge and mature (more well-formed, it drains better and the blockage is resolved. Often, no treatment is needed. Some persistent cases may need a bit of probing to open it up. Hope this makes sense to you. Good luck. ...Read more
LACRYMAL DUCT BLOCK: Commonly seen in newborns. Tear is produced by lacrymal glands situated at upper, outer part of the eyeball, flows over the eyeballs, then drains through a small opening at the nasal side of the lower eyelid to lacrymal sac, then through lacrymal (tear) duct to the nose. If the duct is blocked, tear accumulates in the sac, gets infected with swelling, redness and drainage of pus when pressed. ...Read more
I would not: As the blockage is often a "stone" and self removal could lead to damage of the duct i'd seek the help of an ophthalmologist. ...Read more
Very: In most children with dacryostenosis, or a clogged tear duct, no treatment or surgery is necessary. Most cases will resolve on their own. Warm compresses, duct massage, and treatment of superinfection is often all that is needed. However, in the small percentage of babies who require surgery or stenting, the prognosis is excellent, and treatment is effective. ...Read more
BLOCKED TEAR DUCT:
Usually seen in the newborn. (you didn't mention age).
Gentle massage of the nasal side of the lower eyelid with little finger in rolling motion for 30 seconds, 4-6 times daily to empty the lacrymal sac. Then clean the mucous with a gauge. If no good result, check with the doctor. ...Read more
Location mainly: The tear duct is in the corner of the bottom eyelid near the nose and drains tears into the nose. It can be blocked at birth creating watering eyes with discharge, or occur later from other causes. Sometimes that needs surgery to open. A stye is a blocked, and usually infected gland in he eyelid at the base f an eyelash. Can often be treated with compresses and antibiotic drops. ...Read more
Can a blocked tear duct also hurt, I've looked and I'm not seeing anything that looks like a pimple?
Need to see an opthalmologist for the evalaution of the problem as well as
1. For potential dilation of the punctum -the opening of the lacrimal canaliculi in the eyes, one in each eye lid.
2. The nasolacrimal duct is otherwise the tear duct which collects the tears from 2 canalculi, is close to nose and drain into lateral aspect of the nose. There is one nasolac. Duct on each side, need surgery. ...Read more
A common sign: Of this is excessive tearing, called "epiphora". You should not rub your eye, but the tear ducts drain into the nose, and the inner aspect of the eye near the nose can be massaged, and sometimes it clears...Do not wait too long without seeing an eye doctor to make the proper diagnosis and treatment. ...Read more
I figured out that I have a blocked tear duct. Is there anything I can do without a doctor to help it?
My 4 month old baby girl has a blocked tear duct but it's not getting better. Every day it's crusty & she rubs it. What else can I do besides saline?
Depends on situation: This is common in newborns & given some time & growth the blockage can clear on its own as the duct becomes larger. If still blocked at 6m & unresponsive to simple measures, an ophthalmologist may need to probe the duct & clear the blockage. One simple measure involves rolling the tip of the finger over the inner corner of the eye over the tear sac of the eye which may push out any blockage ...Read more
My 3 1/2 mo old has a blocked tear duct. It's worse some days, better others. For those worse days, what signs mean he might need to see the doctor?
Wait: At 3 1/2 months there is still a chance that the blocked tear duct will resolve spontaneously. Try massaging near the inner corner of your child's eye. If, by 6 months, the tearing has not improved it is time to see a doc. ...Read more
Redness with both: Pink eye is a viral conjunctivitis which causes a generalized reddening of the eye. It usually starts in one eye and spreads to both. With a blocked tear duct there is yellowish matter in the nasal corner of the eye which may run down the cheek. Gently pushing on the inner corner of the lower eyelid would express more of the matter. ...Read more
Hi my baby girl seems to have a blocked tear duct and a little bit of sleep/pas forms there very quickly after cleaning it I use warm water and cotton wool any thing else I can try it only started this morning she is 3 months old?
Depends on situation: This is common in infants & given some time & growth the blockage stops on its own as the duct becomes larger. If still blocked at 6m & unresponsive to simple measures, an ophthalmologist may need to probe the duct & clear the blockage. One simple treatment involves rolling the tip of the finger over the inner corner of the eye over the tear sac of the eye which may push out any debris blocking it ...Read more