How is a blocked tear duct treated?
Initial treatment involves massaging the area over the affected tear sac (located under the skin between the eye and nose) to force the tears and mucus from the sac, hopefully pushing open the membrane causing the obstruction. In infants, this massage requires the active involvement of the parent, as it must occur frequently. Massage is generally continued until the tearing resolves. Antibiotic drops or ointments may also be prescribed by the physician in the event of infection. If the obstruction is still present, it may be necessary to open the tear duct by probing and irrigation. This is most commonly performed between six months and one year of age. The probing is done by passing a thin probe down the tear drainage system in an attempt to open the blockage. There is minimal pain associated with this procedure. After the probing, there may be some brief blood staining of the tears or a slight nosebleed. Antibiotic drops may be prescribed. This procedure is 90-95% effective after the