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!!
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.
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.See 1 more doctor answer
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.
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.See 1 more doctor answer
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.
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.
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.
Often needs surgery: 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.
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.
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.
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.