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LACRIMAL (WATERING EYES)

LACRIMAL (WATERING EYES)

1. Congenital Blocked Tear Duct (CNLDO)

What is this condition?
Incomplete opening of tear ducts in newborns causing watering and discharge.

What are the causes?

  • Developmental delay in tear duct opening

When is treatment needed?

  • Persistent watering beyond infancy
  • Recurrent discharge or infection

What is the treatment?

  • Lacrimal sac massage
  • Probing
  • Silicone intubation
  • DCR if persistent

What are the outcomes?

  • High success rate when treated early
  • Reduced infections and watering

2. Dacryocystorhinostomy (DCR)

What is this condition?
Blocked tear duct in adults causing watering and infection.

What are the causes?

  • Age-related blockage
  • Chronic infection
  • Nasal or sinus issues

When is treatment needed?

  • Recurrent infections
  • Before cataract surgery

What is the treatment?

  • External DCR
  • Endonasal DCR
  • Laser DCR (selected cases)

What are the outcomes?

  • Success rate >90%
  • Permanent relief from watering

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