Doctor insights on:
Stye Or Blocked Tear Duct
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
With a swolen shut eyelid, what is the difference between a sty on the eyelid (not visible) a blocked tear duct, and periorbital Cellulitis?
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
A few things to try: First, a blocked tear system usually leads to tearing with no other significant symptoms. If there is pain or redness at the inside corner of the eye, or discharge, there could be infection, and this should be treated promptly. A blocked tear duct otherwise might respond to using warm compresses to the inside corner of the eye, taking oral decongestants, and using decongestant eye drops (otc). ...Read more
Massage & Patience: Your pediatrician will show how to massage the nasolacrimal duct. The area to massage is on the side of the "nasal bridge." you can massage the are 3 times per day for 30 seconds each time. It is not very clear how effective massaging is but 90% of these blocked tear ducts resolve by 6 month of age, sometimes even without massaging! ...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
If it's still there: ...After 6-9 months, tell your doctor, it might be time for a more aggressive treatment. ...Read more
Can a blocked tear duct also hurt,Ive looked and I'm not seeing anything that looks like a pimple?
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
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
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
Epiphora: blocked tear duct causes tthe tears to drain over the lid margin. Evaluation by an ophthalmologist can determine the cause and plan for treatmeent. ...Read more
Depends on situation: This is common in newborns & given some time and 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 which may push any blockage down the duct. ...Read more