Tear duct obstruction or dakriyostenoztears of newborns and is the most common disorder of the system, in approximately 15% of symptoms seen in this condition. Typically tear duct obstructionin the first weeks or months of life, when it begins begins normal tear production, excessive tearing and ocular discharge that may occur with symptoms will occur.
Periorbital skin, erythema of the upper and lower eyelids, due to inadequate drainage can be caused by irritation from rips and tears. As a result, the condition may mimic a chronic unilateral eye infection.
The skin around the eye, upper and lower eyelid erythema, due to inadequate drainage flowing tears that is caused by friction and irritation can be caused. As a result, the state long-term unilateral conjunctivitis may occur.
The first year of life in most cases, can be reversed spontaneously or with intervention, however, unresolved cases probing for to the eye doctor must take action, and may require surgical intervention. Children under 6 months of treatment approach, and medical massage in a typical method. Lacrimal sac massage, eye drops and topical antibiotics are commonly used.
The rate of occurrence of this situation of infants approximately 6% and 20 between. Congenital obstruction of the tear duct in the eye a high rate of spontaneous recovery; affected children is approximately 70% gets rid of symptoms at 3 months and 90% heal until a first year. Healthy babies usually 20% of the first year of life in the lacrimal drainage has proven to be flawed.
Babies with congenital duct obstruction nazolakrimal 90% of spontaneous healing occur when he was about 6 months old. In approximately two thirds of infants with persistent symptoms at 6 and 10 months, you may see improvement in 6 months. After 12 months, ongoing cases the tear ducts probed you may need. This occurs equally in boys and girls.
Babies with congenital lacrimal duct obstruction, a history of chronic or intermittent rash can also be found in eyelashes. Redness of the eyes is characteristic of, but not due to irrigation of the eyes and irritation of the skin caused by the rupture of a chronic scrub, the upper and lower eyelid may cause slight redness. The lacrimal sac was suppressed as the flow of tears back and/or with the eyes may cause slimy discharge.
Duct obstruction in congenital the arrest of the fluid inside the lacrimal sac, moist suitable for bacterial growth, creates a warm environment.
Some babies during the first few weeks of life occurs with a more severe infection: acute dakriyosistit. Between the lacrimal sac edema and erythema of the medial kantal with clinical findings expansion takes place under tendon, and patients with systemic signs of infection such as fever and irritability can be found.
This is a rare complication of congenital isolated. Acute dakriyosistit, preseptal or orbital cellulitis, sepsis, or meningitis may be complicated by, and should be treated immediately with systemic antibiotics. Dakriyosistit often for antibiotic therapy was prescribed, although dakriyosistit definitive treatment is usually surgical.
Evaluation
Diagnosis typically begins with a history and physical examination only. If the symptoms are intermittent, and abnormal tearing or “discharge” is not present during the inspection, signs of if the dye disappearance test can be done to help confirm the diagnosis. The patient's eyes is dripping a drop of fluorescein to the region of the lower inner cover. Wait 5 minutes, and examine the eyes. Any blockage in the lacrimal drainage system or fluorescein within 5 minutes what is the voltage of the nose completely.
Treatment
Uncomplicated tear duct obstruction the primary treatment is usually done 2 to 3 times per day regime nazolakrimal a massage, and this is accompanied by clearing the eyelids with warm water and topical antibiotics; this will resolve the infection in the majority of cases.
Topical antibiotics are used for the control of drainage mukopurulan softened and the skin on your eyelids is a soft ophthalmic ointment can be used. Does not recover between 6-10 months, in cases in surgery by an ophthalmologist to the child's age me of lacrimal duct is done.
During the procedure, the doctor places a probe or cannula, irrigation, and lacrimal drainage system moves through it until it contacts the obstruction; then the probe is pushed through the nose congestion. Fluorescein often painted with saline irrigation is done in order to guarantee clarity. If you have cellulite or concomitant infection first, systemic antibiotics should be used after probing should be done.