Probing of Nasolacrimal System on My 20-Month Old

Updated on February 02, 2009
L.P. asks from Port Charlotte, FL
6 answers

First, I need to start off with letting everyone know I am not an alarmist. So, I'm not quick on going to the doctor or giving any medication of any kind. I believe our bodies, fed properly with adequate rest and exercise, has the ability to fight our most basic illnesses. So, it isn't a surprise that my son's teary right eye never seemed like an issue. And it's not so teary that it leaves his eyes encrusted or glued shut, like I've heard from other cases. As a matter of fact, in all of his well-visits to his pediatrician, it never came up because it simply was not that noticeable. It was only during his 18-month visit that I (not the doctor) thought to even bring it up, clueness that a clogged tear duct can be considered a problem. Making no big deal, our pediatrician suggested we see a specialist since it didn't clear up by his first birthday. Well, longer story made shorter, the specialist is recommending that my son be put under general anesthesia to have his eye probed (and his duct opened). Before the specialist came to this recommendation, she did have me press on his eye twice daily for 30 days to see if I could "pop" open the duct. To no avail, she's now strongly suggesting he go through this procedure. I'm looking for any advice or thoughts on whether this is the right way to go. I guess I'm leary because it's not like his eye is encrusted shut. Only once-in-a-while his eyes get teary and drips down his cheek. Or he'll get a little "eye snot" that isn't a big deal. I'm not sure if his case warrants such a serious procedure, especially with the general anesthesia. The specialist thinks that it might be an issue for him when he gets older. I have no basis and hope to hear some thoughts from other moms who has gone through this or knows of others who have this issue. Thanks so much.

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B.S.

answers from Fort Myers on

I know that alot of moms had to do this to there child, and they say its no big deal. But i totally agree with your fear. my daughter had a cloged tear duct, and i tried EVERYTHING the doctors said, the internet said, and even what moms on here said and NOTHING WORKED. Then one day i just decided to sit her in the room with a Vicks Vaporizor on. I added the menthol stuff to the water so the room was all steamy and mentholy. and sure enough did her eye clear up! it seemed like everything just came pouring out of her. i havent had a problem with it since! do what you think is best for your baby. I just know what worked for mine! GOOD LUCK!

1 mom found this helpful
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C.F.

answers from Tampa on

My niece had a blocked tear duct, and had a small procedure to open it as a baby (around 10 or 11 months). Sure, my sister-in-law worried about the anesthesia and procedure itself, but it turned out to be quite simple and no big deal.

If in doubt you can do two things. 1.)Research for yourself the procedure, as well as the complications if this left untreated. 2.)Seek a second opinion. I would say if you tried for 30 days to open it yourself, as directed by the doctor, and it was unsuccessful, then you should procede to do what is best for your child. Sometimes children MUST have procedures to correct issues. The correction of the problem itself is in his best interest, rather than not acting because you fear the procedure itself is harmful.

Questions you should ask this doctor or the second opinion doctor: "How common is this problem? How many times have you yourself treated/performed this procedure? What are possible complications during the procedure? How experienced is your anathesiologist? What are the risks of not having the procedure done?"

1 mom found this helpful
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N.R.

answers from Lakeland on

My daughter has never had a "Clogged tear duct", but I was diagnosed with one in my late 20s. It was driving me crazy for over a week, and even affected my vision and made it hard to focus. I finally went to an eye Dr. in Naples (Dr. Thompson) who was a beast! First, he didn't really want to listen to me, then he swiped this thing off of the counter with his bare hands and went at my eye. I flinched and asked him what it was, (it looked like one of those old fashioned punches that you use to put holes in leather), he poked at the end of his own finger and said see - it's not a needle it's a dilater (sp?) I'm going to unclog your tear duct. I told him that my tear duct didn't seem to be clogged, but producing more tears than ever. He explained that your tear ducts are connected to your sinuses, and that a certain amount of tears drain via your sinuses etc. He procceeded to try and unclog that tear duct which was not that comfortable, but was not "painful", all the while, using a syringe to try and flush it with water. I was squirming all over the place. When he had had enough, he proclaimed that he could not get it, that I needed to get some nasal spray like Afrin and use it for a week, and that if that didn't work, while he didn't look forward to doing the same procedure on me again, he would have to try again in a week. I told him that if I NEVER saw him again, it would be too soon! So, I went to the store, and I bought the Vicks version of the spray and a saline spray as I've heard all of these stories about the nasal sprays being addictive etc. and I'm a little chicken about medications. I was using this stuff for several days, and went to my company Christmas party - where another Realtor (retired eye surgeon and research scientist) took one look at me and asked what the heck was going on with my eye. I told her my horror story, and she just shook her head and said come with her to the ladies room. After scrubbing her hands like she was going to surgery, (something the beast neglected to do) she had me lean back under the lights over the counter and looked really closely at my eye. This is what she said. If I remember correctly - it's been over 10 years, but here goes, "Your eye has a gelatenous membraine covering and protecting it. This membrane is full of microscopic capillaries etc. At some time, you were exposed to something that irritated your eye - a foreign object, vapor, scratch etc. This membrane became inflamed as a result, and your eye is sensing that and trying to flush it out thinking that the inflammation is a foreign object. Go to the pharmacy and get the eye drops "OPCON A" (sp?), it used to be prescription and is now over the counter, "A" stands for antihystemine. Put three drops in your eye before you go to bed tonight, 3 in the morning when you get up, and every 4 hours the first day. The second day, put 2 drops in first thing in the morning, and every 4 hours through the day, the next day, 2 drops etc, etc, and the next/last day 1 drop in the morning and then each time during the day." I did as she said, to the letter, and do you know that the drop burned just a little for a second when I put it in my eye, but within 10 minutes, my eye was NOT tearing. I continued using the drops as she said, and my eye stayed perfect as I weaned myself off of the drops. I've had a similar thing happen a couple of times over the last ten years, and I've used the OPCON A and it took care of the problem. I don't know if I would try the drops in a child without getting a second opinion from a Dr. 1st - But mention this and see what they say - it worked for me, the "dilation treatment" did not. By the time that I saw Dr. Cindy at my company Christmas party - I had been dealing with the issue for over two weeks, her diagnosis and treatment recommendation took care of it in minutes! Good luck and let us know what happens.

1 mom found this helpful
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M.A.

answers from Fort Myers on

My daughter had that procedure done and I was worried about it too, but it really was no big deal. The way I understand it, when they are really young the duct is also small and very easy to probe open. As they age the duct grows and it's harder to get it all the way open and is therefore a bigger procedure. There is not a very good chance that it will open on its own if it hasn't by now. My daughter also did not get encrusted or conjunctivitis from the blockage.

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R.W.

answers from Tampa on

I have a friend that is blind in one eye because his Mom feared him having eye surgery to get his blocked tear duct repaired. If it was your eye running would you do it? Or would you put up with the runny eye and eye snot as you called it. But I would say get a second opinion before allowing surgery....

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K.M.

answers from Tampa on

I think the 1st step is to check his diet and see if he is reacting to something- you can do a chart for 2-4 weeks, and see what did he eat, or what did you eat if he is still nursing,before he has this reaction. Really it could be a reaction to food, and putting him under anesthesia is a very big deal, very big!
Want more help check out docmccullen.com.
Best of luck, Kia

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