Key Takeaways
- Excessive tearing, discharge, redness, and swollen eyelids are common symptoms of a blocked tear duct in infants.
- Differentiating between normal newborn tearing and chronic tearing is essential for early detection.
- Early intervention can prevent infections and support proper tear drainage as your child grows.
- Treatment options in Pittsburgh include home care, probing procedures, stenting, and minimally invasive tear-duct surgery.
- Everett & Hurite Eyecare Specialists offer expert pediatric ophthalmology care in Pittsburgh, with appointment availability across multiple locations for families seeking evaluation and treatment.
Understanding Blocked Tear Ducts in Children
A blocked tear duct occurs when the drainage channel that carries tears from the eye to the nose does not fully open or becomes obstructed. Approximately 6 out of 100 newborns experience this issue, often due to underdeveloped tear duct structures at birth.
In most infants, blocked tear ducts improve naturally during the first year of life. However, persistent or worsening symptoms may require evaluation by a pediatric ophthalmologist to avoid infection and chronic irritation.
7 Signs Your Child May Need a Tear Duct Specialist
Recognizing the difference between normal eye watering and symptoms linked to a blocked tear duct can help parents know when to seek care. Below are seven key signs that specialist evaluation is recommended.
1. Excessive, Constant Tearing
If one or both of your child’s eyes appear watery throughout the day—especially when they are not crying—this may indicate blocked tear drainage. Tears may overflow and run down the cheeks frequently.
2. Recurrent Eye Discharge
Blocked tear ducts often cause white or yellow discharge to accumulate in the inner corner of the eye. This buildup happens when tears cannot drain correctly and mix with natural debris on the eyelids.
3. Eyelids That Stick Together
Many children with duct blockages have eyelids that stick closed after naps, making it difficult to open the eye comfortably. This stickiness is caused by trapped tears and discharge.
4. Redness or Swelling Near the Inner Corner of the Eye
Swelling indicates increased pressure in the tear sac. In more advanced cases, redness may also develop around the nose or eyelid.
5. Symptoms That Worsen With Illness or Weather Changes
Upper respiratory infections, cold wind, bright sunlight, and sudden temperature shifts can worsen tearing and discharge. If symptoms intensify under these conditions, it may be more than simple irritation.
6. Signs of Infection
If a blocked tear duct becomes infected, symptoms may include:
- Fever
- Pain or tenderness around the eye
- Pus-like drainage
- Increased redness or swelling
Infections require prompt medical attention to protect your child’s eye health.
7. Symptoms Persisting Past 6–12 Months
Most blocked tear ducts resolve without intervention by a child’s first birthday. When they do not, a pediatric ophthalmologist may recommend further evaluation and treatment.
Blocked Tear Duct Symptoms vs. Normal Eye Irritation
Parents often wonder whether excessive tearing is normal. The table below helps highlight key differences.
| Normal Irritation | Blocked Tear Duct |
|---|---|
| Mild, occasional tearing | Constant tearing throughout the day |
| No eyelid sticking | Eyelids stuck closed after sleep |
| No discharge | Yellow or white discharge in the inner corner |
| Improves quickly | Persists for weeks or months |
| No redness or swelling | Redness/swelling near the inner corner |
If your child’s symptoms align more closely with the right column, it may be time to schedule an evaluation.
Why Early Intervention Matters
Early treatment for a blocked tear duct can:
- Prevent recurring infections
- Reduce chronic discomfort and irritation
- Support healthy tear flow and eye development
- Minimize the need for more advanced procedures later
Persistent blockage causes fluid buildup in the tear sac, which can lead to inflammation or infection over time. An early assessment ensures your child receives the appropriate level of care for their symptoms.
What Causes a Blocked Tear Duct?
Blocked tear ducts in infants may be caused by:
- Failure of the tear duct opening to fully develop
- Narrow or undeveloped tear-duct openings
- Pressure from the nasal bone structure
- Infection during gestation
- Hereditary factors contributing to underdeveloped ducts
Understanding these causes helps specialists determine the best path for treatment.
Treatment Options for Blocked Tear Ducts in Pittsburgh, PA
Everett & Hurite Eyecare Specialists provide several safe and effective treatment options for infants and young children experiencing tear-duct blockage.
Home Care During the First Year
Because many cases resolve naturally, early treatment focuses on keeping the eye clean and reducing irritation.
Parents may be instructed to:
- Clean the eye daily with a warm, moist cotton pad
- Gently wipe from the inner corner outward
- Minimize exposure to wind, cold, and bright sunlight
- Wash hands before touching the eye to prevent infection
- Perform tear-duct massage if recommended by a pediatric ophthalmologist
These steps can help relieve symptoms and reduce infection risk while the duct continues to develop.
Probing Procedure
If the blockage persists, a simple probing procedure may be recommended. This involves using a thin, sterile instrument to gently open the duct.
- Highly successful (about 80% success rate)
- Quick and minimally uncomfortable
- Often performed in younger infants for best results
Stenting or Intubation
If probing is not sufficient or if the duct is particularly narrow, specialists may place a small silicone tube to keep the duct open while it heals.
- Helps maintain tear drainage
- Reduces tearing and discharge
- Temporary and typically well-tolerated
Endoscopic Tear-Duct Surgery
In rare or complex cases, minimally invasive tear-duct surgery (dacryocystorhinostomy) may be recommended. Everett & Hurite specialists utilize advanced endoscopic techniques that avoid external incisions and create a new pathway for tears to drain properly.
This option is typically reserved for older children or when other treatments are ineffective.
When to Schedule an Appointment with a Tear Duct Specialist
Parents should schedule an evaluation if:
- Symptoms persist beyond 6–12 months
- Discharge or swelling worsens
- Signs of infection develop
- The child experiences frequent eyelid sticking or discomfort
- Home care provides little or no improvement
Everett & Hurite provides pediatric ophthalmology services at multiple Pittsburgh-area locations, making it easier for families to receive timely care.
Get Expert Care for Your Child’s Blocked Tear Ducts
Early evaluation helps prevent complications and supports healthy vision development. Everett & Hurite Eyecare Specialists offer comprehensive pediatric tear-duct care, from diagnosis to advanced treatment options.
To schedule an appointment, visit the Blocked Tear Ducts in Children page or book directly through Everett & Hurite Eyecare Specialists’ appointments portal.
Frequently Asked Questions
What are the symptoms of a blocked tear duct in a newborn?
Symptoms include constant tearing, watery eyes, discharge, sticky eyelids, and redness near the inner corner of the eye. Symptoms often appear shortly after birth and may worsen during illness or cold weather.
How can I tell if my child’s eye tearing is normal or a sign of blockage?
Normal tearing is occasional and does not cause eyelid sticking or discharge. A blocked tear duct causes persistent tearing, buildup in the eye corner, and frequent crusting.
How do doctors diagnose a blocked tear duct?
Diagnosis includes reviewing your child’s symptoms, conducting an eye exam, and sometimes performing tests to determine how well tears drain from the eye.
Do blocked tear ducts always require surgery?
No. Most infants improve without surgery. If symptoms persist or infections occur, treatments like probing, stenting, or minimally invasive tear-duct surgery may be recommended.
Is tear-duct surgery safe for children?
Yes. Pediatric ophthalmologists at Everett & Hurite use advanced, minimally invasive techniques to ensure safe, effective treatment when surgery is necessary.
