Congenital nasolacrimal duct obstruction is a condition that may be present at birth, which prevents the tears from draining out of the eyes properly. Tears usually drain through small openings in the corners of the eyelids (also known as puncta) and enter the nose through the nasolacrimal duct. If the obstruction does not clear up by the time the child is one-year-old, minor surgery may be recommended to relieve the obstruction. The surgeons of Oculoplastic Associates of Texas are skilled and experienced at pediatric tear duct surgery for children in the Dallas and Plano areas to surgically remove the blockage and open the tear ducts.
"Extremely kind and very informative. Excellent with our nine year old. Office is well kept and clean. Staff was friendly and we did not have to wait long to be called back. Maybe 10 minutes. I would definitely recommend Dr. Merritt."- M. / Healthgrades / Feb 01, 2018
"Best Oculoplastic Surgeon in Dallas - Dr. Abbott did an amazing, life changing, eye lid lift surgery!!!! I am more confident and I still don't recognize myself. As she's a true artist!"- Anonymous / Vitals / Sep 21, 2018
"He's the Best - Dr. Merritt is the best, he is understanding, kind and willing to spend the time explaining his procedure to fix your eyes. I picked him out in a google search and it was the best decision I've ever made. My eye lids had dropped from cataract surgery and I had been looking through my eye lashes for about a year. Now I have great vision and quite a pretty look to my eyes. If I ever have any more issues he is the only one I will go to. His nurse is great and the girls at the front desk were kind and helpful. He also has a fantastic surgical crew.nWe need more doctors like Dr. Merritt."- Anonymous / Vitals / Sep 14, 2018
"I had a great experience with Dr Abbott and her staff at the Plano office. I had an upper eyelid blepharoplasty done in the office. I was nervous but they put me right at ease. The procedure was painless and quick. I am more than happy with the results and now only need to use readers! I also found their website to be very easy to navigate."- N.H. / Healthgrades / Aug 02, 2018
"Dr Merritt is not only extremely talented as a surgeon but he is outrageously kind and caring. Chosen as physician of the year by the doctors at Texas Healthcare Presbyterian Hospital Dallas for very good reasons."- T.F. / Yelp / Jun 25, 2018
Once the doctor has confirmed the child has a tear duct blockage that needs surgical intervention, the operation will be scheduled and performed at an accredited pediatric surgical facility. Pediatric tear duct surgery takes about 10 minutes with the child under anesthesia as the doctor passes a soft probe through the tear duct and into the nose to open any obstruction within the path. Sterile saline is then used to irrigate and clean the opened duct.
Most children show little to no signs of discomfort after the procedure when the anesthesia wears off. Parents will be given an antibiotic ointment or eye drops and specific instructions to help their child heal properly. Most pediatric tear duct surgeries are successful and improve the child’s symptoms within a week, but some children may need a second surgery.
Plan Your Procedure
Pediatric Tear Duct FAQs
Signs and Symptoms?
If a child has a blocked tear duct, the tears may well up on the surface of the child’s eye and overflow on the eyelashes and eyelids. The eyelids may also become red and swollen with yellow or green discharge.
Is It Common?
Nasolacrimal duct obstruction is a common condition that affects more than 5% of all infants and is present at birth. Most nasolacrimal duct obstructions clear on their own during the first year of life.
If it is noticed early, parents can take certain measures to clear up the obstruction without surgery. The parent should ensure that the eye is kept clean and free of infection, daily tear duct massages, and antibiotic eye drops to relieve discharge. However, if the infection does not clear up before the child’s first birthday, tear duct surgery is usually recommended.