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Tear Duct Occlusion and Irrigation

Tear duct obstruction are blockages in the system where the tears formed on the surface of the eye are discharged. After the hole-shaped openings in the inner parts of the eyelids, where tears flow, there is a drainage system that opens to the nose with tubular systems.

The liquid formed on the surface of the eye flows into the nose through this system. Since tear is blocked in the excretory system, tear cannot flow into the nose, so it flows out from the inner part of the eyelids to the cheeks.

Tear occlusion can occur in the initial part of the excretory system or anywhere in the system.

In adult patients, the most obstructed part is seen in the tubular system between the tear sac and the nose.

It is popularly known as tear vascular occlusion. The most prominent complaint in tear drainage duct is watering.

When the pouch area is pressed, the infected secretion may drain towards the eye.

With channel occlusion, the risk of infection increases. If there is a complaint of redness, swelling and pain at the level of the root of the nose where the tear sac is located, there is an infection.

In this case, it is necessary to give drug treatment before it is too late. Otherwise, the infection may spread to the area where the eye socket is. The patient's vision may be compromised.

Treatment of lacrimal duct obstruction varies according to the site of obstruction of the duct. Specially prepared silicone materials are applied to widen the canal in the obstructions at the entrance of the canal in the eyelids.

These hole-in-the-middle silicone plugs are removed after three months and the canal can be opened in this way. Apart from silicone plugs, tear duct obstructions at the entrance of the canal can be opened with surgery

In cases of obstruction after lacrimal sac, surgery is required. These operations can be performed through the skin (external dacryocystorhinostomy) from the eyelid and the root of the nose, or through the nose (endoscopically) and laser.

Among these methods, the method that is accepted as the gold standard and has the highest surgical success is the external dacryocystorhinostomy surgery performed through the skin.

Endoscopic dacryocystorhinostomy surgery is not suitable for every patient. It is applied according to the examination of the inside of the nose and the determination of the level of duct obstruction.

Its success is not as high as external dacryocystorhinostomy. Surgical success of dacryocystorhinostomy surgery performed by laser is lower than other methods.

The treatment applied in canal occlusion is surgery. The procedure can be done endoscopically via the skin (external) or nasal route.

The success of surgical treatment performed through the skin is over 95% in experienced hands.

How Long Does Tear Duct Occlusion Surgery Take?

Tear duct occlusion surgery is a very elaborate operation especially performed in adults. Because it is necessary to create a new channel that opens the tear duct to the nose.

Therefore, since we have to reconstruct the bone window and make a new opening, the operation time is approximately 1 hour.

Does Tear Duct Occlusion Open By Itself?

Tear duct obstruction can be cleared by massage or spontaneously at a rate of 90% within the first year in babies.

If the existing obstruction is a slight membranous obstruction, it will open spontaneously. But if some syndromic babies have osseous congestion or a serious blockage, we don't expect it to open.

In adults, we do not expect the tear duct to open spontaneously. In some patients, especially if there is sinus infection, if there is an infection in the maxillary sinus, if there is an initial degree of obstruction secondary to this infection, treating the infection is a rare condition that allows the obstruction to be opened.

What are the Causes of Tear Duct Occlusion?

The causes of tear duct obstruction are congenital in children. There is a membranous blockage in the part where the tear duct opens to the nose. It may depend on this.

Adults' congestion can be seen as a result of infections in the conjunctival sac or the arrival of infectious agents at the bottom of the eyelashes to the lacrimal sac and tear ducts, and the formation of adhesions in this tubular system first.

How is the Treatment of Tear Duct Occlusion?

In Treatment of lacrimal duct obstruction, it is necessary to divide the treatment into children and adults. The treatment of lacrimal obstruction in children, especially in the newborn period, is the first treatment in this period.

If there is an infection, antibiotics for the infection can be applied for a short time. If there is adult tear duct obstruction and there is no infection, its treatment is completely surgical.

The canal must be opened with surgery. If there is an infection picture, the infection should be treated first.

How Is Tear Duct Obstruction Diagnosed?

Clinically, tears flow outward in patients with duct obstruction. The patient complains a lot about it. Because this situation makes daily life completely difficult.

While reading a book, walking outside, watching television, the patient needs to constantly wipe because tears flow outward.

The first diagnosis clinically already suggests that the patient has tear occlusion with outflow of tears.

Second, as a laboratory, we perform a lavage test to determine whether the patient has clinically blocked tear duct. Here, liquid is given to the tear ducts during lavage.

If the fluid does not pass into the nose or throat, then we can decide that the duct is blocked. When we lavage the tear ducts, we clinically understand that the duct is clogged if the liquid does not pass into the nose and comes back.

Apart from this, radiological tests can be performed as a laboratory.

If there is an obstruction in lacrimal ducts, we need more detailed radiological studies as to why it is blocked or another reason, whether it is due to the tumor mass, whether there is a tumoral formation in the tear ducts.

Herbal Treatment for Tear Duct Obstruction

If there is an infection in tear duct obstruction, we can treat it medically with drugs. We can benefit from both systemic antibiotics, topical antibiotics and anti-familial drugs.

In chronic cases, in cases where the tears flow completely and there is no infection, our treatment is generally surgery. With surgery, canal obstruction can be treated.

There is a situation in the form of herbal treatment, which is known as wrong among the people. There is no herbal treatment of lacrimal duct obstruction. Such a treatment method does not exist.

What Is It Like After Tear Duct Occlusion Surgery?

In adults, after tear duct occlusion surgery, it may be a little painful due to the opening made in the bone window.

On the first day, there may be edema, swelling and pain in that area. Healing can usually be achieved within a week.

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