The tear duct, which begins as two small openings in the inner corner of the lower and upper eyelids, drains excess tears into the nasal cavity. Tear duct obstruction causes watering and flaking in the eye. With regular massage in newborn babies, the tear duct usually opens spontaneously by the age of 1.
In cases where it does not open and in adults, a transition is created between the tear duct and the nasal cavity by surgical intervention. It is a disorder more common in women. The patient complains of constant tearing and tearing in his eyes.
When the drainage system that carries tears to the nose is blocked for any reason, some of the tears produced flow from the eyelids to the face. Some of it accumulates in drainage ways. These pooled tears often develop infections and can cause painful swelling or inflammatory discharge in the inner angles of the eyelids.
HOW IS TEAR DUCT OBJECTION DETECTED?
The causes of watery eyes are checked with a detailed examination. Fluid is given by lavage through the tear holes. If fluid comes from the patient’s nasal passages, the channels are open, otherwise they are closed.
HOW TO OPEN CLOGS IN TEAR DUCT?
The treatment for tear duct obstruction is surgery. With surgery, a new passageway is opened between the lacrimal sac and the nasal cavity. In some cases, a silicone tube placed in the tear duct to prevent obstruction of this passage during healing is removed two months after the surgery. The success rate of this surgery is very high.
CONGENITAL TEAR DUCT OBLOCKAGE
Children may be born with a blockage in the tear drainage pathways. Watering and watering in one or both eyes of the baby may be a sign of congenital obstruction of the tear ducts. It can be seen more frequently in premature babies, boys and cesarean babies.
The reason for the congenital ones is; This is because the tear ducts have not yet completed the formation of the baby during its development in the womb. Usually, the problem is that the baby is born without puncturing the membrane where the lacrimal sac opens to the nose. In this case, tears cannot drain into the nose and blockages may cause watering and crusting in the baby’s eyes.
WHAT ARE THE TREATMENT STEPS?
This situation in babies is usually temporary. There is a high probability of improvement with appropriate drops and massage. If the duct obstruction does not improve within 12-18 months, the obstruction at the lower end of the duct is opened by entering the upper end of the tear duct with a tool called a catheter under general anesthesia. It is an average 3-minute process. The success rate is around 95%. Surgery may be required in patients who do not improve with catheterization.