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Lacrimal duct stenosis is a narrowing of a tear duct (lacrimal duct). This condition can occur in children and adults. This fact sheet will focus on lacrimal duct stenosis in infants.
The lacrimal duct (in blue) drains tears from the eye down into the nose. The opening of the ducts are near the inner corner of the eye.
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In some babies, problems in normal development of the tear duct can cause lacrimal obstruction. A thin membrane may cover the opening of the duct into the nose.
Factors that may increase your baby’s chance of lacrimal duct stenosis:
Lacrimal duct stenosis may cause:
You will be asked about your baby’s symptoms and medical history. The doctor will do an exam. Your baby may need to see a doctor who specializes in eye conditions in children if it persists.
The eye doctor may do a dye disappearance test. This test will help to confirm that there is a blockage in the tear duct.
Talk with the doctor about the best treatment plan for your baby. In infants, this condition often heals by itself in the first year of life.
Treatment options include:
There are no current guidelines to prevent lacrimal duct stenosis.
Healthy Children—American Academy of Pediatrics
National Eye Institute
Canadian Ophthalmology Society
Caring for Kids—Canadian Pediatric Society
Nasolacrimal duct obstruction. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T113767/Nasolacrimal-duct-obstruction. Updated May 31, 2017. Accessed December 14, 2017.
Tear duct obstruction and surgery. Kid's Health—Nemours Foundation website. Available at: http://kidshealth.org/parent/general/eyes/tear_duct_obstruct_surgery.html. Updated February 2015. Accessed December 14, 2017.
Last reviewed November 2018 by EBSCO Medical Review Board Michael Woods, MD, FAAP Last Updated: 12/20/2014