Obstruction of the lacrimal duct in infants: Symptoms and Treatment

Tears - is not only a manifestation of violent emotions.Lacrimal fluid forms on the surface of the eyeball film, preventing it from drying out.The tear contain specific antibodies and substances having antimicrobial activity, which promotes the protection of the eye against infection.

tear fluid is produced in the lacrimal gland, which is located under the upper eyelid and conjunctiva extra iron.The inner edge of the eye and tear accumulates through the tear ducts that are at the age of flowing into the lacrimal sac, and then - in the nasal cavity of the nasolacrimal canal.When blinking tear film over the eye is updated.To help a young child who can not yet talk about their discomfort, it is important to learn to see the adult symptoms of obstruction of lacrimal and conduct the appointed specialist treatment.


  • 1 Symptoms of obstruction of tear duct in infants
  • 2 How can clarify the diagnosis
  • 3 Treatment
    • 3.1 Rules of massage
    • 3.2 If massage does not help
  • 4 summary for parents

Before the birth of the fetus tear ducts have a thin membrane of embryonic tissue, protecting the eyes from falling into their amniotic fluid.At birth, when the baby takes the first breath, the film is broken, and his eyes begin to work normally.If already unnecessary protection persists, the outflow of tears broken, tears stagnate, associated infection and there dacryocystitis - purulent inflammation of the lacrimal sac.

Sometimes this situation is regarded as conjunctivitis, parents use antibacterial eye drops, eye washed baby antiseptics, decoction of chamomile.For some time, the treatment helps, but the problem will soon be resumed, it is because the cause of the disease is not eliminated.

According to statistics, obstruction of lacrimal system affects about 5% of babies, but in varying degrees, the problem faced by many parents.You experience the following symptoms:

This pathology can be one-sided and double-sided, but more often with one hand.

To see passable tearful way or not, the sample used Vesta or kollargolovaya sample.The sample is held by a physician, and that the baby in both eyes one drop dug 3% Collargolum harmless colorant.The nozzle is inserted into a cotton wick child.

If after 10-15 minutes, a dye appears on the wick, then tear ducts passable (test positive).If the wick is kept clean, so the outflow of liquid into the nasal cavity is not, and cross-lacrimal impaired (test negative).

The sample can be regarded as positive, and if three minutes conjunctiva brighten.

Trial Vesta makes it possible to determine the level of destruction and his character, so further consultation appointed otolaryngologist (ENT doctor).It will help to find out whether the difficulty is due to the outflow of tear fluid runny nose, mucosal edema and other problems of the nasopharynx.

Some children by the end of the second week of life the remnants of fetal tissue in the lacrimal ducts disappear on their own, and the problem is solved.In some cases, the tube remains, and without the aid of the children's ophthalmologist is necessary.

To the doctor should contact as soon as possible to avoid severe complications of neonatal dacryocystitis - cellulitis lacrimal sac.The complication is accompanied by fever, the child becomes restless, crying, which further exacerbates the problem.No treatment dacryocystitis may lead to the formation of fistulas lacrimal sac.

First of all, the child is assigned massage lacrimal , that parents should be spending your child at home regularly.With the help of massage movements in the nasal duct is caused by high blood pressure, which helps break the fetal membrane and restore patency of lacrimal system.

massages to be performed 4-7 times a day for two weeks at least.As a rule, 3-4-th month of the problem the child is allowed.

In addition to massage appointed eyewash and anti-inflammatory drops instillation.As eye drops often use 0.25% ethyl Chloramphenicol, Vitabakt.

age of six months the child it is important to restore patency of lacrimal system, or a thin membrane is sealed, and overcome the obstacle becomes much more difficult.

massage If the result is not given, the child needed surgical care - sensing (probing) lacrimal.The operation is performed under local anesthesia and consists in the fact that the doctor inserts a probe into the lacrimal-nasal passage, breaking embryonic film.

After the procedure is assigned to a course of massage and special eye drops for the prevention of adhesion formation (in the event of these adhesions lead to relapse).

If a half or two months, the eyes continue to fester, the operation is repeated.

If sensing is ineffective, further examination is necessary to exclude the infant malformations nasolacrimal canal curvature of the nasal septum and other pathologies.In some cases, the child may need dacryocystorhinostomy - complicated surgery, which is performed after reaching the kid five-six years of age.

constant watering, and the more pus from the eyes of a newborn baby should alert you.Although obstruction of lacrimal baby may spontaneously eliminated, only hope this is impossible.It is necessary to show the child to medical attention that he, if necessary, timely treatment is appointed.

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