Tears are moisturizin the eyes. They are in the small ducts on the inside of the eye to the nose. This ductis often confined to the lower part of the tear sickness, resulting in a hostile illness. Tear duct obstruction is most often seen in infants in the first year, middle-aged and elderly women, people with a curved nose and long-lasting nasal infections and allergies. Since it can not pass, it flows from the eye. Eye duct occlusion often causes infection in the eyes.
Semptoms of eye duct occlusion and infection
- Excessive dilution
- Frequent burning in the eye
- Nasal root inflammation
- Nasal swelling
Baby’s eye duct occlusion treatment
- First 1 year massage is applied. It is done in the form of oppression on the nose. 3-4 times a day, 5 minutes to do this massage will be enough. The possibility of opening the duct by itself is about 95%. If infections occur frequently in children, probing should be done without waiting from 6th month.
- Eye drops with considerable antibiotic are used for burden in the eye.
- If it continues after one year, it means that the duct hasn’t open. In this case “probing” should be applied. If the complaint of survival does not pass after the first probe, a silicone tube intubation is made. The tube is left in place for 2 months and then removed in policlinics. If treatment is delayed in children, the success rate decreases.
- If it doesn’t get better with a silicone tube, this time you are expected to be 2 years old and a surgery called “dacryocystorhinostomy” is performed.
Adult’s eye duct occlusion treatment
1- Dacryocystorhinostomy (Open Surgery = DSR )
Under local or general anesthesia, an incision of approximately 1 cm is made at the root of the nose.
- A small bone window is opened in the nasal bone.
- Direct transition from the tear to the nasal cavity is created.
- In some cases, a silicone tube can be passed through the puncture.
- The process is terminated by closing the cut with the stitches.
- The standart in duct surgery worldwide is DSR surgery. If it is done according to the rule, there will be no marks on the skin.
Possible issues of the dacryocystorhinostomy surgery (Complications)
- Infection of the scar
- Restricting of the duct (120%)
- Anesthesia: local or general anesthesia.
- Time: 45 minutes.
- Bandage: Put a thin band in place of the bruise.
- Post-surgery: There may be swelling around the eye.
- Sutures: Removed after 7 days.
- Controls: The day after surgery, 7 days, 1 month, 3 months
- Eye drops and pomade: Antibiotic pomade on stitches 1 week, eye drop with antibiotic.