Doctor insights on:
Painful Black Dot On Tear Duct
The area near my tear duct is very red, swollen, itchy and painful when I blink. Is that a stye? What do I do? How long does it take to heal?
Swollen tear duct: You may in fact have a stye or it may be an infection of the tear duct. I suggest that you see an ophthalmologist for definitive diagnosis and treatment. ...Read more
Inner left eye is painful to the touch and when blinking near the tear duct. I'm getting over a sinus cold. Any connection? Suggestions?
Most likely...: If you are suffering of an upper respiratory tract infection the possibility of getting symptoms in any part of your upper respiratory area (throat, ears, eyes, sinus.)might develop a secondary infection. This sounds it might be a stye so try to use warm compresses three times a day, drink plenty of fluids and rest during this season of illness. If worse or no improvement after a week see your dr. ...Read more
I have a painful swelling under my eye, with redness near the tear duct. Much worse today then it was yesterday. Don't remember being bitten.
I woke up this morning and my eye is so painful. The pain is on the top eyelid and tear duct area. I can't even touch it and it hurts to blink?
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
I had a painful inflammation on my inner eye, behind the tear duct. It started to drain, but now my eyelids are swollen. What should I do?
I get headaches near my right eye below the eyebrow near my tear duct it is painful and like little needles pricking hurts when moving head?
I would strongly recommend you see an Eye specialist and do so as soon as possible.
Hope all goes well - please keep me posted. ...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
Try massage: Try massaging the inner corner of the lower eyelid to try to open the duct. Probing the duct may be needed by an ophthalmologist. ...Read more
An unusual sign: Bleeding from the tear duct is unusual if there has been no trauma to that area. If you are sure it is coming from the tear duct you should have an eye exam by an ophthalmologist. Calculi (sharp stones) and tumors of the duct can occur are rare but may cause bleeding from the duct. ...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
Warm compress: Try a warm compress and if not resolving see your doctor or ophthalmologist. ...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