ICD-10 code H04. 53 for Neonatal obstruction of nasolacrimal duct is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa .
What is a blocked tear duct? This condition is called dacryostenosis or congenital (present at birth) lacrimal duct obstruction. Tears help clean and lubricate the eye and are produced in the lacrimal gland located under the bone of the eyebrow.
The nasolacrimal duct (also called the tear duct) carries tears from the lacrimal sac of the eye into the nasal cavity. The duct begins in the eye socket between the maxillary and lacrimal bones, from where it passes downwards and backwards.
Congenital nasolacrimal duct obstruction (CNLDO) is a common condition causing excessive tearing or mucoid discharge from the eyes, due to blockage of the nasolacrimal duct system. Nasolacrimal duct obstruction affects as many as 20% children aged <1 year worldwide and is often resolved without surgery.
Conjunctivitis, otherwise known as pink eye, is when the whites of the eyes actually turn red/bloodshot. This is not a normal part of blocked tear ducts — it indicates an infection is present and this requires medical attention. Sometimes we can call in treatment for you, see conjunctivitis page for more details.
Infection: Chronic sinus infections or eye infections can lead to blockage. Injury: Any eye injury near the tear ducts, even a scrape from tiny dirt particles, can cause a blockage. Tumors: A tumor anywhere near the tear ducts, such as in the nose, can cause blocked tear ducts.
The eye's tear ducts, also called the nasolacrimal ducts, are small tubes that stretch from the eye into the nose.
The surgery that's commonly used to treat blocked tear ducts is called dacryocystorhinostomy (DAK-ree-oh-sis-toe-rye-nohs-tuh-me). This procedure opens the passageway for tears to drain out your nose again. You'll be given a general anesthetic, or a local anesthetic if it's performed as an outpatient procedure.
Each upper and lower eyelid has one of these openings, called a punctum. These four openings, or puncta, act like little valves to take tears out of the eye. Each time we blink, some tear fluid is pumped out of the eye through the puncta.
It is usually caused by persistence of a membrane at the distal valve of Hasner. The primary symptoms are epiphora, which result from backflow of tears due to blockage of the duct, and periocular crusting and discharge due to infection of the lacrimal system (Figure 1).
The term "congenital dacryocystitis" is a misnomer. The condition develops after birth, and not before, and is not a true inflammation of the sac wall, but an infection of the retained excretions from the conjunctival sac.
The primary treatment of uncomplicated nasolacrimal duct obstruction (NLDO) is a regimen of nasolacrimal massage, usually 2 to 3 times per day, accompanied by a cleansing of the lids with warm water and topical antibiotics; this will resolve the infection in 76% to 89% of cases.
Once in the nose, tears are reabsorbed. A blockage can occur at any point in the tear drainage system, from the puncta to your nose. When that happens, your tears don't drain properly, giving you watery eyes and increasing your risk of eye infections and inflammation.
The surgery that's commonly used to treat blocked tear ducts is called dacryocystorhinostomy (DAK-ree-oh-sis-toe-rye-nohs-tuh-me). This procedure opens the passageway for tears to drain out your nose again. You'll be given a general anesthetic, or a local anesthetic if it's performed as an outpatient procedure.
Place a clean index finger between the inner corner of the eye and the side of the nose. Gently slide the index finger downwards while massaging the side of the nose. You can repeat it around 10 times in the morning and 10 times at night. You may also use warm compresses to relieve itching and irritation.
The primary treatment of uncomplicated nasolacrimal duct obstruction (NLDO) is a regimen of nasolacrimal massage, usually 2 to 3 times per day, accompanied by a cleansing of the lids with warm water and topical antibiotics; this will resolve the infection in 76% to 89% of cases.
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure
Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure