Blocked tear duct

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Definition

By Mayo Clinic staff

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Illustration showing tear glands and tear ducts 
Tear glands and tear ducts

When you have a blocked tear duct, your tears can't drain normally, leaving you with a watery, irritated eye. Blocked tear ducts are caused by a partial or complete obstruction in the tear drainage system.

As many as 20 percent of newborn babies have a blocked tear duct at birth, but it usually clears up on its own in the first year of life. Adults can get a blocked tear duct as a result of an infection, inflammation, an injury or a tumor. A blocked tear duct almost always is correctable, but the treatment depends on the cause and your age.

References
  1. Dacryostenosis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec09/ch100/ch100g.html#sec09-ch100-ch100d-200l. Accessed Aug. 23, 2010.
  2. Paysse EA, et al. Nasolacrimal duct obstruction (dacryostenosis). http://www.uptodate.com/home/index.html. Accessed Aug. 23, 2010.
  3. Casady DR, et al. Stepwise treatment paradigm for congenital nasolacrimal duct obstruction. Ophthalmic Plastic and Reconstructive Surgery. 2006;22:243.
  4. Mills DM, et al. Acquired nasolacrimal duct obstruction. Otolaryngology Clinics of North America. 2006;39:979.
  5. Kapadia MK, et al. Evaluation and management of congenital nasolacrimal duct obstruction. Otolaryngology Clinics of North America. 2006;39:959.
  6. Hurwitz JJ. The Lacrimal drainage system. In: Yanoff M, et al. Ophthalmology. 3rd ed. Philadelphia, Pa.: Mosby Inc.; 2008. http://www.mdconsult.com/das/book/body/215591989-11/0/1869/585.html?tocnode=56526590&fromURL=585.html#4-u1.0-B978-0-323-04332-8..00244-4_5653. Accessed Aug. 20, 2010.
  7. Emaeli B, et al. Prospective study of incidence and severity of epiphora and canalicular stenosis in patients with metastatic breast cancer receiving docetaxel. Journal of Clinical Oncology. 2006;22:3619.
  8. Dantas RR. Lacrimal drainage system obstruction. Seminars in Ophthalmology. 2010;25:98.
  9. Weiss AH. Conjunctivitis beyond the neonatal period. In: Long SS, et al. Principles and Practice of Pediatric Infectious Diseases. 3rd ed. Philadelphia, Pa.: Churchill Livingstone; 2008. http://www.mdconsult.com/das/book/body/215591989-9/1041841990/1679/89.html#4-u1.0-B978-0-443-06687-0..50088-6--cesec20_1773. Accessed Aug. 20, 2010.
  10. Becelli R, et al. Posttraumatic obstruction of lacrimal pathways: A retrospective analysis of 58 consecutive naso-orbitoethmoid fractures. Journal of Craniofacial Surgery. 2004;15:29.
  11. Robertson DM (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 30, 2010.
DS01096 Oct. 16, 2010

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