Tear Duct Obstruction

Tear Duct Obstruction

Man rubbing eyes

What Is a Tear Duct Obstruction?

Have your eyes been unusually watery lately? You may have a tear duct obstruction, a condition that prevents tears from draining from your eyes. Although the condition is certainly annoying, it's usually fairly easy to treat.

What Happens When You Have an Obstruction

Tears keep your eyes moist, wash away debris, and help bend light rays as they enter your eyes. A healthy tear film prevents dry eye and keeps your eyes comfortable. Tears exit your eyes through tiny openings called puncta in the corners of your upper and lower eyelids. The tears then enter the nasolacrimal ducts and drain into your nose.

If there's a blockage in the duct, tears build up in your eyes. In addition to causing watery eyes, blockages can blur your vision and make your eyes irritated and itchy. In some cases, a tear duct obstruction can lead to a bacterial infection called dacryocystitis. Symptoms of the infection include yellow discharge from your eye, pain, crusty eyelids, swelling, redness, and fever.

Who Gets Tear Duct Blockages?

Tear ducts blockages are particularly common in infants and affect almost 20% of newborns, according to the American Academy of Ophthalmology (AAO). In adults, obstructions can be related to:

  • Sinus or Eye Infections. Scarring caused by chronic sinusitis may be the reason for your obstruction. Conjunctivitis (pink eye) and other eye infections may increase your risk of developing a tear duct blockage.
  • Polyps. These benign growths in your nose can block your tear ducts.
  • Injury. Did your eyes become watery after you broke your nose? Scar tissue in your nose may be to blame. Injuries to the eyes may also cause obstructions.
  • Surgery. Eye or sinus surgery could also cause scarring that may block your duct.
  • Chronic Eye Condition. People who have certain eye conditions, like uveitis or glaucoma, are more likely to be diagnosed with tear duct obstruction.
  • Abnormalities: Abnormalities in the way your face or skull developed might cause narrower tear ducts that are prone to obstructions.
  • Cancer Treatment. Some people develop tear duct obstructions after chemotherapy or radiation treatment.
  • Tumors. A tumor that grows near your eye could eventually block a duct.
  • Aging. As you get older, your punctum may become narrower and more prone to blockages.

How Is Tear Duct Obstruction Treated?

Treatments for an obstruction vary depending on the cause. Babies usually outgrow the problem in four to six months, according to the AAO. If your blockage is caused by a bacterial infection, your optometrist will prescribe antibiotics that will clear up the infection.

Your optometrist can perform a procedure to remove the blockage by flushing the tear duct with fluid. Dilating the duct with a balloon can also clear an obstruction. During a balloon catheter procedure, your eye doctor puts a tiny, uninflated balloon in the duct, then inflates it, which removes the blockage.

A stent offers another option if you have an obstruction. A small tube placed in the duct keeps it open. Stents usually only remain in your eye for a few months. Drainage may also improve if your doctor makes a few tiny cuts to widen your puncta.

Surgery might be needed if these treatments aren't helpful. During a surgical procedure, your doctor creates a new pathway for your tears.

Are you worried that your watery eye may be caused by tear duct obstruction? We'll examine your eyes and provide a diagnosis and treatment plan. Contact our office to schedule your appointment.


Sources:


Medical News Today: What Is Dacryocystitis?

Cleveland Clinic: Blocked Tear Duct, 5/27/21

American Academy of Ophthalmology: What Is a Blocked Tear Duct?, 3/1/15

American Association for Pediatric Ophthalmology & Strabismus: Nasolacrimal Duct Obstruction

Testimonials

Reviews From Our Satisfied Patients

  • I have been seeing Dr. William Berk for the last 20 years and have always received top notch service. Highly recommend Dr. Bill and his wife Dr. Anne Berk.

    - July 26, 2022
  • dr. anne is the best! she is really caring, professional, and hilarious. not many can make an eye exam enjoyable, but she and her staff are successful! :)

    - June 9, 2020
  • Love Dr. Anne! She is fantastic and so helpful figuring out solutions for seeing well in all areas of life! Thank you! Also staff is friendly and caring and was super happy to have photos instead of dilation and no more air puffs for eye pressure! State of the art!

    - September 22, 2022
  • I have been going here for over 6 years. They are thorough and care sbout your eye health. They also have great service. I definitely recommend them.

    - January 14, 2023
  • Great people great service been coming to them for 30 years😍

    - October 27, 2022
  • Getting new frames is always a painless and pleasant experience here. The staff are professional and friendly.

    - August 27, 2022
  • This place is awesome. Everyone is so nice and you feel like you are getting the best deal. This is my new eye place. The best ever. Thank you all for treating me with professionalism.

    - January 15, 2023
  • Friendly staff, welcoming setting, professional opinions, and great prices! Dr Kimmi is the best! Can’t recommend this place highly enough!

    - January 26, 2023
  • I really love all the people at HV Vision Source! The doctors listen to any questions or concerns I have & never give up on helping me. Thanks so much❣️

    - January 28, 2023
  • My Happy Valley Vision Source appointment went well. Dr. Chan was very helpful and informative regarding my vision requirements. I recommend them if you need eye care.

    - May 19, 2023
  • This was my first time at this office. Everything from the booking experience to the exam to the final payment was great. Everyone was very professional. I'll definitely be back and recommend this place!

    - March 10, 2023
  • The doctor and staff were great. Very knowledgeable and willing to answer all my questions and help me select a new pair of glasses. Thank you for the great service.

    - March 18, 2023
  • I arrived early. Only waited about 5 minutes. I ❤️ Dr.Nguyen. She's like a breath of fresh air. She diagnosed my issue quickly and I'm on the road to recovery! Thank you!😊

    - July 5, 2023
  • Completed my eye exam within an hour and everyone there is nice. Probably the best office I have been to throughout my life having glasses.

    - May 11, 2023
  • Wonderful experience, and very helpful getting my vision back to perfect.

    - June 9, 2023
  • I had the best experience here! I would recommend Happy Valley Vision Source to anyone looking for a new place to have an eye exam. I love my glasses and contacts and the staff was amazing!

    - May 23, 2023

Hours of Operation

Due to appointment demand, you may be charged a minimum $39 fee if you cancel or miss your appointment without 24 hour notice.

Office Hours

Monday

9:00 am - 5:00 pm

Tuesday

9:00 am - 5:00 pm

Wednesday

9:00 am - 5:00 pm

Thursday

9:00 am - 5:00 pm

Friday

9:00 am - 5:00 pm

Saturday

9:00 am - 5:00 pm

Sunday

Closed

Office Hours

Monday
9:00 am - 5:00 pm
Tuesday
9:00 am - 5:00 pm
Wednesday
9:00 am - 5:00 pm
Thursday
9:00 am - 5:00 pm
Friday
9:00 am - 5:00 pm
Saturday
9:00 am - 5:00 pm
Sunday
Closed

Locations

Find us on the map