HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

How To Treat Obstruction Of Nasolacrimal Duct?

Hello doctor, My son has had an obstruction of his nasolacrimal duct since he was born, in January we under went the lacricath procedure and it was a success for a couple weeks, we had to restart the tobradex drops 4x a day for 10 days and then off for two weeks and so on and so forth. We had an appointment with his doctor this morning, and his duct is obstructed again and now we are considering the option of redoing the probing, using a larger balloon cath, and the possibility of a stent as well, my worries is that if just doing the lacricath again and not putting a stent in are we going to end up right back in this same situation again a couple months down the road? How affective are the sents? And are there different options out there?
Tue, 15 Dec 2015
Report Abuse
ENT Specialist 's  Response
Hello dear,
After going through your history, I believe you have some genuine concern and I will try to help you out of this situation.

Blockage of nasolacrymal duct since birth is a less common but not rare phenomenon. The treatment starts form gentle massage to probing and dilatation to surgery. I think your doctor is doing a genuine work by re-dilatation of the nasolacrymal passage. Putting a stent or not will be definitely his decision depending upon the protocol he follows. But stents are also not for ever. It has to be removed after 6 weeks. Please do not forget to use the eye drops for longer period after the procedure.

It should be in your mind that this procedure also may fail as doctors can not fight against nature. The healing process of any condition is totally dependent upon the nature and body's own healing mechanism.

The ultimate option for this condition is surgery, in which a communication is made from the nasolacrymal system to the nose.


I hope I could solve your query. Please do not hesitate to clarify more doubts for the same situation.

Thank you for the way you are in my life.
Dr Ipsit Panda
I find this answer helpful

1 Doctor agrees with this answer


Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Interventional radiology


Loading Online Doctors....
How To Treat Obstruction Of Nasolacrimal Duct?

Hello dear, After going through your history, I believe you have some genuine concern and I will try to help you out of this situation. Blockage of nasolacrymal duct since birth is a less common but not rare phenomenon. The treatment starts form gentle massage to probing and dilatation to surgery. I think your doctor is doing a genuine work by re-dilatation of the nasolacrymal passage. Putting a stent or not will be definitely his decision depending upon the protocol he follows. But stents are also not for ever. It has to be removed after 6 weeks. Please do not forget to use the eye drops for longer period after the procedure. It should be in your mind that this procedure also may fail as doctors can not fight against nature. The healing process of any condition is totally dependent upon the nature and body s own healing mechanism. The ultimate option for this condition is surgery, in which a communication is made from the nasolacrymal system to the nose. I hope I could solve your query. Please do not hesitate to clarify more doubts for the same situation. Thank you for the way you are in my life. Dr Ipsit Panda