About Childrens’ Tear Duct Problems

Normally, tears drain through tiny opening in corners of the upper and lower eyelids call “puncta,” then enter the nose through the nasolacrimal duct. Sometimes the nasolacrimal duct or tear duct can become blocked or obstructed making it impossible for the tears to drain normally. This can cause the eyes to run water or even produce a discharge. Often, the tears well up on the surface of the eye and overflow onto the eyelashes, eyelids, and down the cheek. This usually occurs within the first days or weeks of life. Sometimes, the eyelids can become red and swollen, even stuck together with yellowish-green discharge since the normal eyelid bacteria are not properly “flushed” down the obstructed system. Probably the most common cause of a tear duct obstruction in kids is a failure of the membrane at the end of the tear duct opening to open fully at the time of birth. Generally we see this happening in some 5-10% of newborn infants where one or both eyes is affected with a tear duct obstruction-BUT some 90% clear without any treatment with the first 12 months after birth.

Treatment of Kids’ Tear Duct Obstruction

As most of the time the obstruction will clear on its own, we don’t always have to treat it. But, if it persists and causes the welling up of tears or the sticking or redness of the eyelids we can suggest a gentle massage as a first step and prescribe antibiotic eye drops if necessary. Sometimes we will need to do a tear duct probing to clear the blockage and in a some more difficult situations we might need to perform a tear duct dilation with a tiny balloon or even insert some microscopic tubes. We perform these types of treatments as a matter of routine and, as a parent I will make sure to thoroughly explain them and answer all of your questions if they become necessary.

If you or someone you know has questions or concerns about childrens tear duct problems or needs a kids eye exam, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.