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.
"I went to see Dr. Corona for a second opinion after another doctor, who had the worst bedside manner ever, diagnosed me with a serious condition and treated me like a piece of cattle. Dr. Corona was not only prompt to see me, but he was also kind and reassuring, a complete opposite of the other physician. He offered his very competent opinion, referred me to a colleague who specializes in treating my condition...and I left his office feeling much better about my prognosis. Kudos to him!"- W.P. / Healthgrades / Jun 23, 2016
"Dr. Corona was extremely kind. He took the time to diagnose my condition.I dad no pain during the procedure he did, and three days later, I looked 10 years younger!I would recommend him to any person who wants their eyes to look younger and refreshed!"- Anonymous / Healthgrades / Jun 17, 2016
"Superb, compassionate technician/expert - Dr. Merritt enjoys a well-deserved reputation as the doctor of choice in his field. He is kind and respectful, addressing your questions patiently. I had a tearing problem for about 8 years which I just lived with. I finally took action when a top plastic surgeon I know personally noticed it and said Dr Merritt was the professional in this area to whom he refers. Dr Merritt performed diagnostic procedures in his office that were pain free and determine i I needed a bypass. My procedure involved about 8 stitches between eye corner next to nose given where they had to enter in my particular case and in less than 2 weeks the scar was virtually invisible. The stent came out early and my tearing is about 95% gone. I urge anyone needing to have any eye surgery to meet with Dr. Merritt. I trust him completely and consider myself very discerning in this area. Frankly, he ranks tops in my book among physicians I've had experience with for technical skill as well as a caring attitude."- S.S. / Vitals / Jan 16, 2016
"Very attentive, good bedside manner, explained everything thoroughly."- Anonymous / UCompareHealthcare / Dec 31, 2015
"I would definitely recommend Dr Corona to others. He is very kind & takes the time to explain your condition. His staff is very good & professional, too."- Anonymous / RateMDs / Dec 31, 2015
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.