Congenital Nasolacrimal Duct Pathology Upper East Side

Congenital nasolacrimal duct pathology refers to conditions that affect the tear drainage system from birth. Early diagnosis and treatment can help resolve symptoms and support healthy eye development.

Gentle Care for Delicate Eyes Congenital Nasolacrimal Duct Pathology Treatment

Dr. Allison Coombs brings compassionate, specialized care to families navigating pediatric eye conditions. As a board-certified oculofacial plastic surgeon and ophthalmologist, she offers meticulous treatment of tear duct disorders in infants and young children. Her expertise in pediatric eye surgery ensures your child receives care tailored to their developmental and medical needs.

What Is Congenital Nasolacrimal Duct Pathology?

Congenital nasolacrimal duct obstruction (NLDO) occurs when the tear drainage system doesn't fully open after birth. This results in tears spilling over the eyelids or frequent eye infections. The condition may resolve on its own, but persistent or severe cases often require medical or surgical intervention.

little boy outside with sunset behind him

How Treatment Can Help Your Child

Treatment options range from conservative approaches, like tear duct massage, to procedures such as probing or stenting to open the duct. Timely treatment of congenital nasolacrimal duct obstruction can relieve discomfort and prevent long-term issues.

The benefits of treatment include the following:

Relief from excessive tearing and discharge
Lower risk of eye infections
Improved tear drainage and eye comfort
Better visual development
Reduced skin irritation around the eyes

Ideal Candidates for Treatment

Infants and children with unresolved or chronic tear duct symptoms may benefit from treatment. The following are ideal candidates:

Children who experience persistent tearing or discharge beyond one year of age
Those with recurrent eye infections
Children with signs of duct obstruction unresponsive to massage
Patients in good overall health who are cleared for anesthesia if surgery is needed
Families seeking a long-term resolution with minimal impact

Why Choose Dr. Allison Coombs?

Dr. Coombs' reputation for pediatric oculofacial expertise is built on years of advanced training and experience. Her board certification in ophthalmology and oculofacial plastic surgery makes her uniquely qualified to treat both the structural and functional aspects of congenital nasolacrimal duct conditions.

Her approach is patient-centered and family-focused. She takes the time to educate, listen, and design treatment plans that align with each child's health and development goals. Families trust Dr. Coombs for her gentle care, precision, and deep commitment to outcomes that improve both comfort and quality of life.

About the Consultation

During your child's consultation, Dr. Coombs will perform a thorough evaluation and review any prior testing or symptoms. She may conduct a dye disappearance test or imaging to confirm the diagnosis. You'll receive a clear explanation of treatment options and timing, allowing you to make the best decision for your child.

Cost of Treatment

The cost of treating congenital nasolacrimal duct pathology depends on the chosen intervention. Probing procedures typically range from $1,200 to $2,500 in NYC, depending on facility fees and anesthesia. (Source: FairHealthConsumer.org)

After the Procedure

Most children recover quickly after tear duct surgery. You may notice mild tearing or discharge for a few days. Antibiotic drops are often prescribed. Results are typically visible within one to two weeks, with a significant reduction in symptoms. Follow-up visits help ensure the ducts remain open and healing progresses well.

Treatment Procedures

Tear duct massage: Non-invasive first-line approach for infants under one year.
Balloon dacryoplasty: A minimally invasive dilation of the duct using a small balloon catheter.
Dacryocystorhinostomy (DCR): A more advanced surgical solution for complex or refractory cases.

What to Expect During the Procedure

For children requiring surgical correction, probing is the most common approach. The procedure is typically performed under general anesthesia in an outpatient setting. The following is what to expect during the procedure:

Your child is placed under light general anesthesia.
A small, smooth probe is inserted through the tear duct to clear the blockage.
In some cases, a silicone stent is placed to keep the duct open.
The procedure usually takes less than 30 minutes.
Your child is monitored post-procedure and typically returns home the same day.

Congenital Nasolacrimal Duct Pathology Conditions

Simple duct obstruction
Complex NLDO with associated facial anomalies
Dacryocystocele (cystic swelling of the tear duct)
Punctal agenesis (absence of the tear duct opening)

FAQ Congenital Nasolacrimal Duct Pathology

Will my child grow out of a blocked tear duct?

Many cases resolve by 12 months, but persistent symptoms may require treatment.

Is probing painful for my child?

The procedure is performed under anesthesia, and most children experience minimal discomfort afterward.

How long does tear duct probing take?

Typically under 30 minutes.

Are there risks with surgery?

Risks are rare but can include infection, scarring, or recurrence of blockage.

Can both eyes be treated at once?

Yes, if needed, both ducts can be probed during the same session.

What if probing doesn’t work?

Additional options like stenting or dacryocystorhinostomy may be considered.

Is follow-up necessary?

Yes, follow-up ensures healing and helps monitor the effectiveness of treatment.

At what age is probing most successful?

Probing is most effective between 6 and 18 months of age, though it can be performed later if needed.