Blocked Tear Ducts in 24 Month Old

My daughter had this happen when she was just a few days old, her Dr. told me to gently rub her eye with a clean warm wash cloth! I did this every 30-60 minutes until it was cleared. She had a greenish, yellow puss that came out after it started to clear, and I just kept getting a clean cloth every time, so that the puss wouldn't infect her eye! I suggest trying that! Good luck, I hope this helps!

To me, the probe method IS invasive and general anesthesia is serious business, especially whne it comes to toddlers.Here is some information that I have gotten and it has worked with 3 of my kids and with some friends' kids. If you are ambivalent about the surgery, it doesn't hurt to exhaust home remedies and alternative treatments first, then do surgery as a last option.
You can see a naturopath for a second opinion, or a wholistic pediatrician.
here is some helpful home care to try:
wash your hands carefully and massage the lacrimal duct (the inner lower corner of the eye) in an upward motion gently with a q-tip. Start at the inner corner and gently move upward- then start again a little lower and move upward toward the eye.
Massage routine can be done twice a day. Try this method for as long as you feel comforable with, seek a second opinion and then decide on the option that you feel best about. It may clear up with massage or surgery may be an option.
Good Luck!
M.

Both of my oldest children had blocked tear ducts, and they didn't have to undergo any procedures to fix the problem. I would get a second opinion. It was something that both of my children just outgrew, the only thing the doctors ever told me to do was put a warm towel and apply pressure to the corner of their eyes. I hope this helps a little.

E. Livingston
Fountain, CO

Both of my older children, now 5 and almost 7, had this condition (dacryostenosis) to the point of requiring surgery for probing the duct and having a stent/indwelling tube placed. As the literature states, if the condition does not spontaneously resolve with massage by the time a child reaches 12 months of age then surgery is required. When you compare the risks vs. the benefits, in my mind, there was NO question!---The surgery needed to be performed.

My oldest's procedure was not without difficulty. The anesthesia was not a problem but his canal was so scarred they almost recovered him so that he could have more extensive surgery with an otolaryngologist(ENT) AND an ophthomologist to reconstruct his tear duct when he was older and the structures were larger. Post-op required follow-ups to determine if the stent was still in place as some kids rub their eyes and pull the stent out----not a problem as long as the duct stays open. But if the goopy eye discharge recurs, then your child will likely need surgery again. My son had the opposite problem---the canal was so scarred that the stent, usually removed in the doctors office during a 6 month post-op follow up, needed to be removed under general anesthesia--AGAIN! But again, there were abolutely no problems with the anesthesia.

My next experience with my now 5 year old was similar in that her duct did not open into the nasal canal. Her procedure, again at 12 months of age, was not described as needing to recover her and perform a second surgery with the ENT, like my son, but the time under anesthesia was extended to re-create her duct with the probe. Her post-op was tougher because she came out with a bloody nose and seemed initially more uncomfortable than my son but her post-op was inevitably unremarkable. She, however, did not have the scarring problem and when she went in for her 6 month post-op the stent was gone without recurrence of clinical signs---she must have pulled it out.

My son's inital surgery was out of state but the subsequent surgeries were performed by the ophthomologists at Children's---The ophthomologist we had is no longer there but the experience was ideal. I don't know if Children's Eye Physicians does this too but I have recently become acquainted with them for one of my kid's near-sightedness and have been impressed with their pediatric bedside manner.

A simple walk through---It's an early morning out-patient procedure. The kid's are fasted the night before with clear liquids and water okay. Both the anesthesiologist and ophthomologist spoke to us at Childrens. They have a great play room and kids movies running while you wait. The kids each brought a comfort toy---The nurse took my son, and his stuffed kitty, back without a problem but I had to go with my daughter and hold and talk to her while she was induced. They use gas anesthesia with flavorings/scents like bubble gum or banana. My kids were induced with Sevoflurane and maintained on Isoflurane. We were at the hospital about 7am and I recall leaving no later than 2pm that day.

The one thing I do remember---The nurses in the recovery room both out of state and here in Colorado asked if my kids had the "sedative." It is offered pre-op, especially if you think your child will have a lot of anxiety away from you and the one they used at Childrens is midazolam---same family as valium. I DID NOT request it for my kids for these reasons: 1) As I stated before my son didn't need it, he'd go with anyone! AND 2) When they were recovering my son, the nurses said it was a good thing he didn't have it because it made recovery rough. Therefore, when they came to give my daughter her pre-anesthetics, I questioned what they were giving her and told the nurse I did not want the midazolam given. She went and found the anesthesiologist, because he had not spoken to me yet and we discussed my concerns. My daughter did not get the midazolam but it was also too late for her to get a pre-op dose of Tylenol. I was a little angry at first but as it turned out---As I described before, her probing was extensive and she ended up getting morphine because of all they had to do.

I think any time an MD recommends surgery and you are not comfortable with the recommendation---ALWAYS get a second opinion. KUDOS to you for having the courage to do that. Too many times I have seen friends or family members not question a doctor simply because they are a doctor. The fact that remains is that they are human, are capable of mistakes and no one but YOU is the best advocate for your health and your children's.

I apologize for the length----I just felt since I had been through this TWICE I could provide a greater perspective. FWIW--my other child was born with a blocked duct too but this spontaneously resolved with massage by 6 months of age. Hopefully for you, your daughter is the only one that has this but of all the conditions our babies can be born with, I would feel comfortable tackling this one anytime.

Best wishes---Feel free to contact me if any further questions.

Hello M.,

Before you agree to surgery, PLEASE try massaging the ducts five to six times daily (or as many times as you can) for one week. This might sound silly to you at first, but my firstborn also had blocked tear ducts until he was over one year old and massage was what helped in the end. I was almost embarrassed for the fix, since I am myself a massage therapist- but I was grateful nonetheless as we had also considered the procedure.

We were also counseled that each person's tear ducts develop at different rates, and that it is normal for them to not be long enough to accomodate normal drainage until a child is three years old. So, I would recommend that you get a second and even third opinion. I hope this helps- I know you were looking for others who have BTDT, but I had to share how we *avoided* the surgery! Please let us know how it goes.

Yours naturally, J.

M.....

Relax... You really do not have much to worry about. My son who is now 10 had a eye condition when he was 3 years old. His eye was drifting in (lazy eye). The Dr. had to go in and tighten and loosen the muscles around his eyes. My son was under general anaesthesia and did great. My mother works at a surgical center where they little children from ages 1-5 who have to come in for dental work. They are under general and do just fine. There is a very low risk. I believe your daughter will do great. For a second opinion I would go see Dr. Abrahms. He is a pediatric opthalmologist. He si very, very good and comes very highly recommended. He is in Orem.

Good Luck..

S.

I know it can be nervewracking when your child goes under general anesthesia for the first time. My daughter had tubes put in her ears when she was just 10 months old. But it helped her SO much. And there are thousands of successful surgeries a year on children much younger than yours who have to be anesthetized.

Good luck!

I have a 8 and a half month old girl, we asked her pediatrician about her excessive tearing and she has the same thing, but he prescribed eye-drops for her first, it is TobraDex. And it helped her eyes tremendously, but her right eye still tears a bit but not near as much, and her left eye is better. Her eyes would tear so much that she would wake each morning with her eyes crusted over from the tears drying that she couldnt open her eyes and we would have to get a warm rag and wipe her eyes. But ask you babys doctor about these eye-drops and see if that helps first. Because we were also told that the procedure would have to be done to her if the drops didnt help, but they may still have to do it on her right eye though. But when she was 3 and a half months old she was under heavy sedation for and MRI procedure and she did very well. I know its not the same but Im sure your daughter will do fine whether you do get the eyedrops or have to have the surgery done. I hope this helps you out. Good luck on which choice you may make.

M. Witte
Colorado Springs, CO

Hi! My son had blocked tear ducts for the first year of his life. His doctor also told us that if it didn't clear up within the first year, they'd have to operate, so I don't think your doctor is necessarily telling you something wrong. My son had his surgery date all set and we were ready to go in. Then, just 2 days before his surgery, the tear ducts cleared up on their own! So he never had to undergo surgery. We would have, though, if they hadn't cleared up. It's scary to think of your baby going under general anesthesia and being in a situation where you have absolutely no control. My son recently underwent a procedure where they had to anesthetize (sp?) him and even though he's now 9yrs old, I was still freaking out! Of course, everything went smoothly and there were absolutely no concerns or side effects or anything. We took him to the EyeClinic at Children's Hospital in Denver for his tear duct issues and were very happy. I still take my daughter there for another problem (yes, we have eye issues in our family)every 6 months for a checkup and the doctor is really wonderful (her name is Dr. Sands). So good luck and hang in there...once those ducts are opened, no more yucky goo from her eyes!

Hi. My nephew just had this done yesterday, he is 7 months old. He did just fine. Slept alot while wearing off the anesthesia yesterday but he had no problems with his eye gooping up like it normally does. Today he is still doing just fine. So I don't think the procedure is too bad but I would find a DR who seems to care. It is always hard when one doesn't take your concerns seriously.

M.

M. D.
I had my son go under two times for surgery, although not for tear ducts, but for tympanostromy (tubes), adenoids, and tonsils. It was also nerve racking for me, but he did just fine. The waking up part is the worst because sometimes they will be a little more reluctant to stay awake. They may cry a lot and you may not be able to comfort them. You also have to get them to drink a certain amount of fluid. They don't let you go home until this happens, which is once again hard, because you just want to get home and take care of you baby. Even though these are all common possibilities I think that the surgery is something that could benefit your child. My sister had both of her boys have the same procedure (one boy twice--so check to see how likely the first time will work)and it has cut down on a lot of eye infections and eye goop. I hope this helps.
R. M.