Tears and eye health form a functional whole. The tear duct normally opens into the nose. Obstruction most often occurs in the area where the duct opens into the nose (nasolacrimal duct). It is more common in women and the elderly. It causes complaints such as watery eyes, crusting, and blurred vision. In some patients, the tear sac may enlarge and cause swelling in the inner-lower part of the lower eyelid. Sometimes, severe inflammation of the sac spreading to half of the face may develop (“acute dacryocystitis”). If the fluid given to the tear duct does not go to the patient’s throat or only passes in small amounts, it indicates that the duct is blocked.
The treatment is surgery. Medication is useless. In surgery, a new tear duct is created from a level above the obstruction. (“Dacryocystorhinostomy”, “DCR”) This procedure can be performed intranasally or through the skin. The success rate of surgery through the skin is higher. 95-98% of patients recover after the first surgery.
There is a higher probability of re-blockage after laser and intranasal surgeries. Surgery through the skin can be performed with new techniques, without leaving a noticeable scar on the skin. Surgery is performed with local anesthesia in most patients, and the patient is discharged the same day.
Unsuccessful tear duct surgeries. Patients who have previously undergone tear duct surgery and whose surgery was unsuccessful may get rid of their complaints after a second intervention. Second tear duct surgeries are often performed by ophthalmologists who are experienced in this field and ophthalmologists who are competent in the field of oculoplastic surgery. If necessary, your ophthalmologist will refer you to an experienced oculoplastic surgeon for this purpose.
Adult nasolacrimal duct obstruction (NLDO) is a common condition where the tear drainage system becomes blocked, preventing tears from draining properly into the nose. This leads to symptoms such as excessive tearing, discharge, and recurrent eye infections. NLDO can significantly impact a person's quality of life, but with proper diagnosis and treatment, it can be effectively managed.
Causes of Adult Nasolacrimal Duct Obstruction
Aging: Narrowing or hardening of the nasolacrimal duct due to age-related changes.
Infections: Recurrent infections of the tear drainage system (dacryocystitis).
Trauma: Injuries to the face or nose that damage the tear ducts.
Tumors or Masses: Growths in or around the nasolacrimal duct.
Chronic Inflammation: Conditions like chronic sinusitis or allergic rhinitis.
Previous Surgery: Nasal or facial surgeries that may affect the tear drainage system.
Systemic Diseases: Rare conditions like Wegener's granulomatosis or sarcoidosis.
Symptoms of Adult Nasolacrimal Duct Obstruction
Excessive Tearing (Epiphora): Tears overflow onto the face instead of draining into the nose.
Eye Discharge and Crusting: Especially noticeable in the morning.
Swelling and Redness: Around the inner corner of the eye.
Recurrent Eye Infections: Conjunctivitis or keratitis.
Pain or Tenderness: Near the nasal bridge, especially if an infection is present.
Diagnosis of Adult Nasolacrimal Duct Obstruction
Clinical Examination: A detailed eye examination by an ophthalmologist.
Tear Drainage Test (Syringing): Saline is flushed through the tear duct to check for blockage.
Dacryocystography: Imaging technique using contrast dye to visualize the tear drainage system.
CT or MRI Scans: To detect tumors, structural abnormalities, or other underlying causes.
Treatment Options for Adult Nasolacrimal Duct Obstruction
Medical Management:
Antibiotic eye drops or oral antibiotics for infections.
Steroid eye drops to reduce inflammation.
Balloon Dacryoplasty:
A minimally invasive procedure where a balloon catheter is used to dilate the blocked duct.
Suitable for partial blockages.
Silicone Tube Intubation:
A silicone tube is inserted into the tear duct to keep it open.
The tube is usually removed after a few months.
Dacryocystorhinostomy (DCR):
A surgical procedure to create a new drainage pathway from the tear sac to the nose. Endoscopic DCR: Performed through the nose using a camera. External DCR: Performed through a small incision near the nasal bridge.
Conjunctivodacryocystorhinostomy (CDCR):
A surgical procedure to bypass the blocked tear duct by creating a new pathway from the conjunctiva to the nose.
A Jones tube is placed to facilitate tear drainage.
Prevention of Adult Nasolacrimal Duct Obstruction
Maintain good eye hygiene.
Treat eye infections promptly.
Avoid trauma to the face and nose.
Manage chronic conditions like sinusitis or allergies.
Adult Nasolacrimal Duct Obstruction Treatment in Turkey
Turkey is a leading destination for the treatment of adult nasolacrimal duct obstruction, offering world-class medical care at competitive prices. The country is renowned for its advanced healthcare infrastructure, experienced specialists, and affordable treatment options, making it a popular choice for medical tourism.
Why Choose Turkey for NLDO Treatment?
Expert Surgeons: Turkey is home to highly skilled ophthalmologists and oculoplastic surgeons, such as Dr. Ayşe Dolar Bilge, who specialize in lacrimal system surgeries.
Advanced Technology: Turkish hospitals and clinics are equipped with state-of-the-art technology, including endoscopic and laser-assisted surgical tools.
Affordable Costs: Treatment in Turkey is significantly more affordable than in many Western countries, without compromising on quality.
Medical Tourism Services: Many hospitals offer all-inclusive packages for international patients, including: Airport transfers. Accommodation. Translation services. Post-operative care.
Cultural and Historical Appeal: Patients can combine their medical trip with exploring Turkey’s rich culture, history, and natural beauty.
Treatment Process in Turkey
Initial Consultation:
Patients can have an online consultation with Dr. Ayşe Dolar Bilge to discuss their condition and treatment options.
A personalized treatment plan is created based on the diagnosis.
Diagnostic Tests:
Advanced imaging techniques (e.g., CT scans, MRI) to assess the lacrimal system.
Endoscopic examination of the nasal cavity.
Surgery:
The appropriate surgical procedure (e.g., endoscopic DCR, CDCR) is performed by Dr. Ayşe Dolar Bilge.
The procedure is tailored to the patient’s specific needs.
Recovery and Aftercare:
Patients are provided with detailed post-operative instructions.
Follow-up appointments are scheduled to monitor progress.
Advantages of NLDO Treatment in Turkey
High success rates and patient satisfaction.
Comprehensive care from diagnosis to recovery.
Affordable pricing with transparent costs.
Support for international patients, including language assistance.
Recommendations for Patients
Research and choose a reputable clinic or surgeon with proven experience in lacrimal system surgeries.
Discuss your expectations and concerns during the consultation.
Plan your trip in advance, including travel and accommodation arrangements.
Follow all pre- and post-operative instructions for optimal results.
Conclusion
Adult nasolacrimal duct obstruction is a treatable condition that can significantly impact quality of life if left untreated. Turkey, with its advanced medical facilities, experienced specialists like Dr. Ayşe Dolar Bilge, and affordable prices, is an excellent choice for NLDO treatment. Whether you are a local or an international patient, Turkey offers top-quality care and exceptional results. If you are experiencing symptoms of NLDO, consult with a qualified specialist to explore your treatment options.
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