Blocked tear ductsBBlocked tear ductsBlocked tear ductsEnglishOphthalmologyChild (0-12 years);Teen (13-18 years)EyesLacrimal glandsNon-drug treatmentCaregivers Adult (19+)Eye discomfort and redness2014-07-21T04:00:00ZYasmin Shariff, RN;Robert C. Pashby, MD, FRCSC;Dan D. DeAngelis, MD, FRCSC6.0000000000000072.00000000000001531.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how your child's blocked tear duct can be treated.</p><h2>How do tears work?</h2><p>Tears clean the eyes and keep the surface of the eyes moist. They are produced all the time by the tear glands (lacrimal glands) and flow down across the surface of the eye. They then drain through a small opening (punctum) near the corner of the eye into the tear sac (lacrimal sac). From there, they flow down a tube called the tear duct (nasolacrimal duct) into the nose and throat.</p><h2>What is a blocked tear duct?</h2><p>A tear duct that is blocked stops the flow of tears from the eye down into the nose. It can affect one or both eyes. </p> <figure><span class="asset-image-title">Blocked tear duct</span><img src="https://assets.aboutkidshealth.ca/akhassets/Tear_duct_MED_ILL_EN.png" alt="" /><figcaption class="asset-image-caption">Tears normally travel from the eyes to the inside of the nose through a tiny pathway. When this pathway becomes blocked it is called a blocked tear duct. </figcaption> </figure><h2>Key points</h2> <ul> <li>A blocked tear duct stops the flow of tears from the eye down the lacrimal duct into the nose. </li> <li>Extra tears are not always caused by blocked tear ducts.</li> <li>There are many treatments for blocked tear ducts. Your child will only have surgery if other medical treatments do not work.</li> <li>If your child has surgery, follow all after-care instructions properly and attend follow-up appointments.</li> </ul><h2>When to call the doctor</h2> <p>Please call the surgeon after the operation if:</p> <ul> <li>your child cannot see properly</li> <li>your child's pain gets worse</li> <li>your child has a tummy upset</li> <li>your child's eye suddenly gets more puffy</li> <li>your child's eye is bleeding.</li> </ul> <h3>Write down your child's doctor's name and phone number here:</h3> <p>Name: ________________________________________</p> <p>Phone number: _________________________________</p><h2>Treatments for blocked tear ducts</h2> <p>There are different treatments for blocked tear ducts. Your doctor will explain which treatment is best for your child.</p> <p>Medical treatments include massage and <a href="https://akhpub.aboutkidshealth.ca/Article?contentid=1120&language=English">antibiotics</a> for any infections. If these do not work, your doctor will recommend surgery (an operation).</p> <h3>Massaging the eye<br></h3> <p>Gently rubbing (massaging) the lacrimal sac will often help open the tear duct. You will usually need to do this four to six times a day. Your doctor will explain how to massage the lacrimal sac.</p> <h3>Antibiotics</h3> <p>If your child has an infection, the doctor may prescribe antibiotic drops or ointment​. Make sure you apply the <a href="/Article?contentid=996&language=English">ointment</a> or <a href="/Article?contentid=995&language=English">eye drops</a> correctly.</p> <h3>Surgery for blocked tear ducts</h3> <p>If medical treatments have not worked after several months, your child may need surgery. Your child might also need surgery if the lacrimal sac is infected and the skin between the eyeball and the side of the nose is red and swollen.</p> <p>Different types of surgery are available. Your doctor will discuss with you which surgery is best for your child. This will be based on your child's age and how serious the blockage is. Your doctor will also discuss the risks involved with any surgery.</p><h2>What happens during tear duct surgery?</h2> <p>Before the surgery, your child will have a special "sleep medicine" called a <a href="/Article?contentid=1261&language=English">general anaesthetic</a>. This will make sure your child sleeps through the operation and does not feel any pain.</p> <p>Three types of surgery are available:</p> <ul> <li>probing and irrigating</li> <li>silicone tube insertion</li> <li>dacryocystorhinostomy.</li> </ul> <h3>Probing and irrigating</h3> <p>Probing and/or irrigating is the most common surgery for blocked tear ducts.</p> <ol> <li>A thin blunt probe is inserted from the punctum into the lacrimal duct to open the blockage.</li> <li>A second probe is inserted into the nose to make contact with the first probe and make sure the duct is open.</li> <li>If the surgeon decides to irrigate (flush) the duct, a blunt needle will be inserted and saline solution (sterile salt water) will be flushed through it.</li> <li>The needle and probes are removed.</li> </ol> <h3>Silicone tube insertion</h3> <p>In this type of surgery, the surgeon puts a thin tube into the lacrimal duct. The tube is left in for a number of weeks to stop the tear duct from blocking again.</p> <h3>Dacryocystorhinostomy</h3> <p>Dacryocystorhinostomy (say: DACK-ree-oh-SISS-toe-rye-NOSS-toe-mee) is surgery to make a new opening in the tear sac and through the bone into the nose. This lets the tears drain into the nose.</p> <p>All three types of operation are done as day surgery. This means that your child does not stay in the hospital overnight afterwards.</p><h2>What to expect after surgery</h2> <h3>Pain or discomfort</h3> <p>Your child may have some pain in and near the operated eye. Ask your doctor if you can give your child any pain relief medicine.</p> <h3>Discharge from the eyes</h3> <p>Your child's tears and the discharge coming out of the nose may be stained with blood for a day or two. This is normal.</p> <p>There will also be some blood-stained discharge from the area that was operated on. If this happens, apply slight pressure to the operated area with a clean dressing.</p> <p>Tell your doctor if the discharge or bleeding continues for more than a couple of days or if the discharge becomes yellow or green.</p> <h3>Eye patch</h3> <p>Your child does not usually need a patch after this surgery. If your child does get an eye patch, however, your child's doctor will tell you when to remove it.</p> <h3>Tubes in the eye</h3> <p>If your child has a tube placed in the tear duct, they will return to the doctor usually a few weeks or months after surgery to have it taken out while they are awake. Your doctor will give you instructions to follow while the tube is in place.</p><h2>At SickKids</h2> <p>If your child's doctor is not available, call the hospital at 416 813-7500 and ask to speak to the eye doctor on call.</p>
قنوات الدمع المسدودةققنوات الدمع المسدودةBlocked tear ductsArabicOphthalmologyChild (0-12 years);Teen (13-18 years)EyesLacrimal glandsNon-drug treatmentCaregivers Adult (19+)Eye discomfort and redness2009-09-29T04:00:00ZDan D. DeAngelis, MD, FRCSC;Alex Levin, MD, MHSc, FRCSC;Robert C. Pashby, MD, FRCSC;Yasmin Shariff, RN6.0000000000000072.00000000000001531.00000000000Flat ContentHealth A-Z<p>العناية بالعيون: تعلّم كيف يمكن معالجة قنوات الدمع المسدودة واحصل على نصائح للعناية بعيون طفلك. اكتشف اسباب وعلاج انسداد قنوات الدمع.</p>
泪管阻塞泪管阻塞Blocked tear ductsChineseSimplifiedOphthalmologyChild (0-12 years);Teen (13-18 years)EyesLacrimal glandsNon-drug treatmentCaregivers Adult (19+)Eye discomfort and redness2009-09-29T04:00:00ZDan D. DeAngelis, MD, FRCSCAlex Levin, MD, MHSc, FRCSCRobert C. Pashby, MD, FRCSCYasmin Shariff, RN72.00000000000006.000000000000001531.00000000000Flat ContentHealth A-Z了解你的孩子?泪道阻塞是可以治疗的。<br><h2>在儿童医院:</h2><p>如果给你的孩子做了眼睛手术的医生不方便,请致电(416)813-7500,要求和值班的眼科医生通话。</p><br>
淚管堵塞淚管堵塞Blocked Tear DuctsChineseTraditionalOphthalmologyChild (0-12 years);Teen (13-18 years)EyesLacrimal glandsNon-drug treatmentCaregivers Adult (19+)Eye discomfort and redness2009-09-29T04:00:00ZDan D. DeAngelis, MD, FRCSC Alex Levin, MD, MHSc, FRCSC Robert C. Pashby, MD, FRCSC Yasmin Shariff, RN72.00000000000006.000000000000001531.00000000000Flat ContentHealth A-Z介紹怎樣治療孩子的淚管堵塞。
Canaux lacrymaux bouchésCCanaux lacrymaux bouchésBlocked tear ductsFrenchOphthalmologyChild (0-12 years);Teen (13-18 years)EyesLacrimal glandsNon-drug treatmentCaregivers Adult (19+)Eye discomfort and redness2014-07-21T04:00:00ZYasmin Shariff, RN;Robert C. Pashby, MD, FRCSC;Dan D. DeAngelis, MD, FRCSC6.0000000000000072.00000000000001531.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Apprenez comment le canal lacrymal bouché de votre enfant peut être traité.</p><h2>Rôle des larmes</h2> <p>Les larmes servent à nettoyer les yeux et à maintenir leur surface humide. Elles sont produites de façon continue par les glandes lacrymales et s’écoulent sur l’extérieur de l’œil. Les larmes sont évacuées par un minuscule orifice (point lacrymal) situé près du coin intérieur de l’œil, dans le sac lacrymal, puis s’écoulent le long d’un tube appelé canal nasolacrymal jusque dans le nez et la gorge.</p> <h2>Quel est l’incidence d’un canal lacrymal bouché?</h2> <p>Le blocage d’un canal lacrymal empêche l’écoulement des larmes des yeux dans le nez. Le canal lacrymal d’un seul œil ou des deux yeux peut se boucher.</p> <figure> <span class="asset-image-title">Canal lacrymal bloqué <img src="https://assets.aboutkidshealth.ca/AKHAssets/Tear_duct_MED_ILL_fr.png" alt="" /> <figcaption class="asset-image-caption">Normalement, les larmes passent par les yeux et sont acheminées à l'intérieur du nez au moyen de petits passages. Lorsqu'un de ces passages est bloqué, on parle de canal lacrymal bloqué. </figcaption> </span></figure><h2>À retenir</h2> <ul><li>Un canal lacrymal bouché empêche les larmes de s’écouler de l’œil jusque dans le nez. </li> <li>Les excès de larmes ne sont pas nécessairement causés par le blocage des canaux lacrymaux.</li> <li>De nombreux traitements existent pour les canaux lacrymaux bouchés. Votre enfant ne subira une chirurgie que si les autres traitements ne donnent aucun résultat.</li> <li>Si votre enfant subit une chirurgie, assurez-vous de bien suivre toutes les directives de soins à domicile et d’assister à tous les rendez-vous de suivi.</li></ul><h2>Quand communiquer avec le médecin</h2> <p>Après l’intervention, assurez-vous de communiquer avec le médecin qui a effectué la chirurgie si :</p> <ul><li>votre enfant ne voit pas bien</li> <li>ses douleurs s’intensifient,</li> <li>il a mal au ventre,</li> <li>l’enflure de son œil s’aggrave,</li> <li>son œil saigne.</li></ul> <h3>Consignez ici le nom et le numéro de téléphone du médecin de votre enfant :</h3> <p>Nom: ________________________________________</p> <p>Numéro de téléphone : _________________________________</p><h2>Traitements des canaux lacrymaux bouchés</h2> <p>Les canaux lacrymaux bouchés se traitent de diverses façons. Votre médecin vous précisera quel traitement convient le mieux à votre enfant.</p> <p>Les traitements comprennent le massage des yeux et, en cas d’infection, des antibiotiques. Si ces traitements ne donnent aucun résultat, votre médecin recommandera une chirurgie.</p> <h3>Massage des yeux</h3> <p>Un massage délicat du sac lacrymal peut souvent aider à ouvrir les canaux lacrymaux. Vous devrez habituellement répéter le massage de quatre à six fois par jour. Votre médecin vous indiquera comment effectuer le massage.</p> <h3>Gouttes ou onguent antibiotiques</h3> <p>Si votre enfant présente une infection, le médecin pourrait lui prescrire des gouttes ou un onguent antibiotiques. Assurez-vous de faire correctement usage <a href="/Article?contentid=995&language=French">des gouttes</a> ou de <a href="/Article?contentid=996&language=French">l’onguent</a>.</p> <h3>Chirurgie pour remédier aux canaux lacrymaux bouchés</h3> <p>Si, au bout de plusieurs mois, les traitements n’ont donné aucun résultat, votre enfant devra peut-être subir une chirurgie. Il aura peut-être aussi besoin d’une chirurgie si le sac lacrymal est infecté et si la peau entre le globe oculaire et le côté du nez est rouge et gonflée.</p> <p>Il existe divers types de chirurgie pour remédier au blocage. Votre médecin vous indiquera quelle intervention convient le mieux à votre enfant en fonction de son âge et de la gravité du blocage. Il vous expliquera également les risques associés aux interventions en général.</p><h2>Comment se déroule la chirurgie pour remédier aux canaux lacrymaux bouchés?</h2> <p>Avant l’intervention, on administrera à votre enfant <a href="https://akhpub.aboutkidshealth.ca/Article?contentid=1261&language=French">une anesthésie générale</a>, qui consiste à donner un mélange de médicaments au patient pour l’endormir. Cela permettra de s’assurer que votre enfant dormira pendant toute l’intervention et qu’il ne ressentira aucune douleur.</p> <p>Trois types d’intervention peuvent être réalisés :</p> <ul><li>sondage et irrigation,<br></li> <li>insertion d’un tube en silicone,</li> <li>dacryocystorhinostomie.</li></ul> <h3>Sondage et irrigation</h3> <p>L’intervention la plus courante consiste à sonder ou à irriguer les canaux lacrymaux bouchés.</p> <ol><li>Une mince sonde à pointe arrondie est insérée dans le canal lacrymal pour le déboucher. </li> <li>Une deuxième sonde, introduite dans le nez, doit toucher la première sonde pour s’assurer que le canal est ouvert.</li> <li>Si le médecin décide d’irriguer le canal, il y insérera une seringue émoussée pour injecter une solution saline (eau salée stérile).</li> <li>Lorsque l’intervention est terminée, le médecin retire la seringue et les sondes.</li></ol> <h3>Insertion d’un tube en silicone</h3> <p>Dans ce type d’intervention, le chirurgien insère un petit tube en silicone dans le canal lacrymal. Le tube demeure dans le canal pendant quelques semaines pour éviter qu’il se bouche de nouveau.</p> <h3>Dacryocystorhinostomie</h3> <p>Une dacryocystorhinostomie est une chirurgie qui consiste à pratiquer une nouvelle ouverture dans le sac lacrymal qui traverse l’os du nez. L’ouverture permet l’écoulement des larmes dans le nez.</p> <p>Les trois types d’intervention sont des chirurgies d’un jour, ce qui veut dire que votre enfant n’aura pas à passer la nuit à l’hôpital. </p><h2>À quoi vous attendre après la chirurgie</h2> <h3>Douleur ou inconfort</h3> <p>Votre enfant ressentira peut-être de la douleur dans l’œil même ou dans la zone qui l’entoure. Demandez à votre médecin si vous pouvez lui donner des analgésiques pour enfants.</p> <h3>Écoulements des yeux</h3> <p>Les larmes de votre enfant ainsi que le mucus s’écoulant de son nez pourraient contenir du sang pendant un jour ou deux, ce qui est tout à fait normal.</p> <p>Vous pourriez aussi observer du sang dans les sécrétions provenant de la zone de la chirurgie. Si cela se produit, appliquez une légère pression sur la zone à l’aide d’une compresse propre.</p> <p>Si les sécrétions ou les saignements persistent pendant plus de quelques jours ou si les sécrétions deviennent jaunâtres ou verdâtres, informez-en votre médecin.</p> <h3>Pansement oculaire</h3> <p>Le port d’un pansement oculaire n’est habituellement pas nécessaire suivant la chirurgie. Cependant, si votre enfant a besoin d’un pansement oculaire, votre médecin vous précisera quand le retirer.</p> <h3>Tubes insérés dans l’œil</h3> <p>Si un tube a été inséré dans le canal lacrymal de votre enfant, un rendez-vous avec le médecin aura été fixé pour le retirer. Pour ce retrait, qui a normalement lieu quelques semaines ou mois suivant la chirurgie, aucune anesthésie n’est requise. Le médecin vous fournira les directives à suivre pendant que le tube est en place.</p><h2>À SickKids:</h2> <p>Si le médecin de votre enfant n’est pas disponible, communiquez avec l’hôpital au 416 813-7500 et demandez de parler à l’ophtalmologue de garde.</p>
Obstrucción del conducto lagrimalOObstrucción del conducto lagrimalBlocked Tear DuctsSpanishNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2009-09-29T04:00:00ZDan D. DeAngelis, MD, FRCSCAlex Levin, MD, MHSc, FRCSCRobert C. Pashby, MD, FRCSCYasmin Shariff, RN000Flat ContentHealth A-Z<p>Si su niño tiene un exceso de lágrimas puede tener una obstrucción del conducto lagrimal. Infórmese sobre el cuidado de los ojos durante el tratamiento.</p>
கண்ணீர் நாளக் குழாயில் அடைப்பு உண்டாதல்கண்ணீர் நாளக் குழாயில் அடைப்பு உண்டாதல்Blocked Tear DuctsTamilNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2009-09-29T04:00:00ZDan D. DeAngelis, MD, FRCSCAlex Levin, MD, MHSc, FRCSCRobert C. Pashby, MD, FRCSCYasmin Shariff, RN000Flat ContentHealth A-Z<p>சிசுக்களின், குழந்தைகளின் மற்றும் பிள்ளைகளின் கண்ணீர் நாளக் குழாய் அடைப்புகள் பற்றியும், காரணங்கள்.</p>
آنسو کی نالیوں کا بند ہونا۔آآنسو کی نالیوں کا بند ہونا۔Blocked Tear DuctsUrduNAChild (0-12 years);Teen (13-18 years)NANANAAdult (19+)NA2009-09-29T04:00:00ZDan D. DeAngelis, MD, FRCSCAlex Levin, MD, MHSc, FRCSCRobert C. Pashby, MD, FRCSCYasmin Shariff, RN72.00000000000006.000000000000001531.00000000000Flat ContentHealth A-Zنونہالوں، چھوٹے اور بڑے بچوں میں آنسو کی نلی بند ہونے کی وجوہات، علامات اور آنسو کی بند نلی کے مناسب علاج کے بارے میں معلوم کریں

 

 

Blocked tear ducts962.000000000000Blocked tear ductsBlocked tear ductsBEnglishOphthalmologyChild (0-12 years);Teen (13-18 years)EyesLacrimal glandsNon-drug treatmentCaregivers Adult (19+)Eye discomfort and redness2014-07-21T04:00:00ZYasmin Shariff, RN;Robert C. Pashby, MD, FRCSC;Dan D. DeAngelis, MD, FRCSC6.0000000000000072.00000000000001531.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how your child's blocked tear duct can be treated.</p><h2>How do tears work?</h2><p>Tears clean the eyes and keep the surface of the eyes moist. They are produced all the time by the tear glands (lacrimal glands) and flow down across the surface of the eye. They then drain through a small opening (punctum) near the corner of the eye into the tear sac (lacrimal sac). From there, they flow down a tube called the tear duct (nasolacrimal duct) into the nose and throat.</p><h2>What is a blocked tear duct?</h2><p>A tear duct that is blocked stops the flow of tears from the eye down into the nose. It can affect one or both eyes. </p> <figure><span class="asset-image-title">Blocked tear duct</span><img src="https://assets.aboutkidshealth.ca/akhassets/Tear_duct_MED_ILL_EN.png" alt="" /><figcaption class="asset-image-caption">Tears normally travel from the eyes to the inside of the nose through a tiny pathway. When this pathway becomes blocked it is called a blocked tear duct. </figcaption> </figure><h2>Causes of a blocked tear duct</h2> <p>A blocked tear duct usually occurs when the nasolacrimal duct fails to open at its lower end in the nose.</p> <p>The condition can be congenital (it is present at birth) or acquired (it develops later in life). A congenital blocked tear duct affects about one in 25 babies.</p> <h2>Symptoms of blocked tear ducts</h2> <ul> <li>Your child will have wet eyelashes or extra tears. Since the tears cannot drain out of the tear duct, they spill over the lashes, often onto the cheeks. </li> <li>Your child's eyelids may stick together with mucus, especially in the morning. Mucus is a sticky liquid that is normally dissolved in the tears. When tears do not flow well, however, the mucus stays on the outside of the eye. This mucus is normal. It is not the same as pus (a yellowish or greenish liquid), which is a sign of an infection.</li> <li>Your child may often have a red eye. This is caused by infections, which are more common when tears do not drain properly.</li> </ul> <h3>Extra tears do not always mean the tear ducts are blocked</h3> <p>Extra tears are not always caused by blocked tear ducts. If your child has extra tears, an eye doctor should check your child's eye(s).</p><h2>Key points</h2> <ul> <li>A blocked tear duct stops the flow of tears from the eye down the lacrimal duct into the nose. </li> <li>Extra tears are not always caused by blocked tear ducts.</li> <li>There are many treatments for blocked tear ducts. Your child will only have surgery if other medical treatments do not work.</li> <li>If your child has surgery, follow all after-care instructions properly and attend follow-up appointments.</li> </ul><h2>How to care for your child after tear duct surgery</h2> <h3>Cool water compresses</h3> <p>Some doctors will suggest putting cool water or ice water compresses on the eyes to ease discomfort and reduce swelling after surgery. Ask your child's doctor if your child can have cool compresses.</p> <p>To make a cool compress, follow these steps:</p> <ol> <li>Fill a clean container with cool water. Cool tap water is fine. If you have well water, boil it and cool it in the refrigerator before you use it.</li> <li><a href="https://akhpub.aboutkidshealth.ca/Article?contentid=1981&language=English">Wash your hands</a>.​</li> <li>Soak a clean face cloth in the cool water.</li> <li>Squeeze any extra water out of the cloth, then place the cloth on the swollen eye(s).</li> <li>Leave the cloth on for no more than two minutes at a time.</li> <li>Repeat a few times.</li> <li>Wash your hands again.</li> </ol> <p>Ask the doctor how often your child can have a cool compress. Several times a day for the first one or two days after surgery is often fine. Always wash your hands before and after touching your child's eyes.</p> <h3>Antibiotic drops</h3> <p>Your child's doctor may prescribe antibiotic ointment or eye drops for the affected eye and the surgery site. Make sure you get the prescription and carefully follow the instructions for <a href="https://akhpub.aboutkidshealth.ca/Article?contentid=996&language=English">applying the ointment</a> or <a href="https://akhpub.aboutkidshealth.ca/Article?contentid=995&language=English">putting in the eye drops</a>.</p> <h3>Nose blowing and wiping</h3> <p>Your child should not blow their nose for the first two weeks after surgery. It is fine to wipe the nose gently instead.<br></p> <h3>Tubes</h3> <p>Tubes placed in the tear duct do not generally cause any problem. If your child has a tube and the loop becomes very visible in the corner of the eye, attach it to your child's face with a piece of tape and call your child's doctor to inform them about it.</p> <h3>Gentle play only for the first week </h3> <p>For the first week after surgery, your child should only do light activities such as gentle playing indoors, using computers or watching TV.</p> <p>During this time, your child must avoid rough activities, sandbox play, contact sports such as soccer or hockey or anything else that would cause your child to bump into another child. Your child should also avoid bending and any activities that could cause them to get out of breath.</p> <p>If you have any questions about other possible activities, ask your child's doctor.</p> <h3>School and day care</h3> <p>Generally, children should not go to school or day care for the first two days after surgery, sometimes longer. Please check with your child's doctor. Tell your child's caregiver or teacher about the activities your child must avoid.</p> <h3>Swimming</h3> <p>Generally, swimming is not allowed for one week after the surgery until your child is seen by the doctor. Your child's doctor can tell you when your child can return to swimming.</p> <h3>Baths and showers</h3> <p>Ask your doctor about baths and showers. Some doctors recommend a bath instead of a shower for the first week after surgery.</p> <h3>Sun exposure</h3> <p>Your child should avoid going out in the sun right after surgery. Ask your child's doctor when your child is allowed to go back out in the sun. </p><h2>When to call the doctor</h2> <p>Please call the surgeon after the operation if:</p> <ul> <li>your child cannot see properly</li> <li>your child's pain gets worse</li> <li>your child has a tummy upset</li> <li>your child's eye suddenly gets more puffy</li> <li>your child's eye is bleeding.</li> </ul> <h3>Write down your child's doctor's name and phone number here:</h3> <p>Name: ________________________________________</p> <p>Phone number: _________________________________</p><h2>Follow-up appointments</h2> <p>You will need to bring your child to a follow-up appointment one or two weeks after surgery. Check with your child's doctor about when the follow-up appointment should happen.</p> <h3>Write the date and time of the first appointment here:</h3> <p>_____________________________________________</p> <p>Sometimes, the surgery may need to be repeated. Your child's doctor will tell you if your child needs another operation.</p> <p>If your child has a tube in the tear duct, you will need to make a follow-up appointment a few weeks or months after surgery to have it removed.</p> <h3>Write the date and time of the appointment here:</h3> <p>_____________________________________________</p><h2>Treatments for blocked tear ducts</h2> <p>There are different treatments for blocked tear ducts. Your doctor will explain which treatment is best for your child.</p> <p>Medical treatments include massage and <a href="https://akhpub.aboutkidshealth.ca/Article?contentid=1120&language=English">antibiotics</a> for any infections. If these do not work, your doctor will recommend surgery (an operation).</p> <h3>Massaging the eye<br></h3> <p>Gently rubbing (massaging) the lacrimal sac will often help open the tear duct. You will usually need to do this four to six times a day. Your doctor will explain how to massage the lacrimal sac.</p> <h3>Antibiotics</h3> <p>If your child has an infection, the doctor may prescribe antibiotic drops or ointment​. Make sure you apply the <a href="/Article?contentid=996&language=English">ointment</a> or <a href="/Article?contentid=995&language=English">eye drops</a> correctly.</p> <h3>Surgery for blocked tear ducts</h3> <p>If medical treatments have not worked after several months, your child may need surgery. Your child might also need surgery if the lacrimal sac is infected and the skin between the eyeball and the side of the nose is red and swollen.</p> <p>Different types of surgery are available. Your doctor will discuss with you which surgery is best for your child. This will be based on your child's age and how serious the blockage is. Your doctor will also discuss the risks involved with any surgery.</p><h2>What happens during tear duct surgery?</h2> <p>Before the surgery, your child will have a special "sleep medicine" called a <a href="/Article?contentid=1261&language=English">general anaesthetic</a>. This will make sure your child sleeps through the operation and does not feel any pain.</p> <p>Three types of surgery are available:</p> <ul> <li>probing and irrigating</li> <li>silicone tube insertion</li> <li>dacryocystorhinostomy.</li> </ul> <h3>Probing and irrigating</h3> <p>Probing and/or irrigating is the most common surgery for blocked tear ducts.</p> <ol> <li>A thin blunt probe is inserted from the punctum into the lacrimal duct to open the blockage.</li> <li>A second probe is inserted into the nose to make contact with the first probe and make sure the duct is open.</li> <li>If the surgeon decides to irrigate (flush) the duct, a blunt needle will be inserted and saline solution (sterile salt water) will be flushed through it.</li> <li>The needle and probes are removed.</li> </ol> <h3>Silicone tube insertion</h3> <p>In this type of surgery, the surgeon puts a thin tube into the lacrimal duct. The tube is left in for a number of weeks to stop the tear duct from blocking again.</p> <h3>Dacryocystorhinostomy</h3> <p>Dacryocystorhinostomy (say: DACK-ree-oh-SISS-toe-rye-NOSS-toe-mee) is surgery to make a new opening in the tear sac and through the bone into the nose. This lets the tears drain into the nose.</p> <p>All three types of operation are done as day surgery. This means that your child does not stay in the hospital overnight afterwards.</p><h2>What to expect after surgery</h2> <h3>Pain or discomfort</h3> <p>Your child may have some pain in and near the operated eye. Ask your doctor if you can give your child any pain relief medicine.</p> <h3>Discharge from the eyes</h3> <p>Your child's tears and the discharge coming out of the nose may be stained with blood for a day or two. This is normal.</p> <p>There will also be some blood-stained discharge from the area that was operated on. If this happens, apply slight pressure to the operated area with a clean dressing.</p> <p>Tell your doctor if the discharge or bleeding continues for more than a couple of days or if the discharge becomes yellow or green.</p> <h3>Eye patch</h3> <p>Your child does not usually need a patch after this surgery. If your child does get an eye patch, however, your child's doctor will tell you when to remove it.</p> <h3>Tubes in the eye</h3> <p>If your child has a tube placed in the tear duct, they will return to the doctor usually a few weeks or months after surgery to have it taken out while they are awake. Your doctor will give you instructions to follow while the tube is in place.</p><h2>At SickKids</h2> <p>If your child's doctor is not available, call the hospital at 416 813-7500 and ask to speak to the eye doctor on call.</p>https://assets.aboutkidshealth.ca/akhassets/Tear_duct_MED_ILL_EN.pngBlocked tear ducts

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