It is a common problem in babies. It is usually due to the presence of a membrane in the area where the tear duct opens into the nose. It causes watering and frequent crusting in the eyes. Some babies may develop a swollen tear sac.
In treatment, methods such as tear sac massage, lacrimal probing, silicone tube placement and dacryocystorhinostomy are used depending on the patient's age and clinical findings. The results of the surgery are extremely successful. One surgery is sufficient for the vast majority of patients.
Treatment options are not exhausted in patients whose watering continues despite previous probing or silicone tube placement. In these patients, tear duct surgeries are also extremely successful, in proportion to the experience of the physician.
Congenital Nasolacrimal Duct Obstruction (CNLDO)
Congenital nasolacrimal duct obstruction (CNLDO) is a common condition in newborns and infants where the tear drainage system is blocked, preventing tears from draining properly into the nose. This blockage typically occurs at the Hasner valve, a membrane at the end of the nasolacrimal duct. CNLDO is the most common cause of excessive tearing (epiphora) and eye discharge in infants. While most cases resolve spontaneously within the first year of life, some may require medical intervention.
Causes of Congenital Nasolacrimal Duct Obstruction
Failure of the Hasner Valve to Open: The most common cause, where the membrane at the end of the nasolacrimal duct fails to open after birth.
Anatomic Abnormalities: Structural issues in the nasolacrimal duct or surrounding tissues.
Genetic Factors: Rarely, genetic conditions may contribute to the obstruction.
Symptoms of Congenital 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 dacryocystitis (infection of the tear sac).
Diagnosis of Congenital Nasolacrimal Duct Obstruction
Clinical Examination: A detailed eye examination by a pediatric ophthalmologist.
Tear Drainage Test (Syringing): Saline is flushed through the tear duct to check for blockage.
Dye Disappearance Test: Fluorescein dye is placed in the eye, and its disappearance is observed over time.
Imaging (Rarely Needed): CT or MRI scans may be used in complex cases to assess the anatomy of the tear drainage system.
Treatment Options for Congenital Nasolacrimal Duct Obstruction
Conservative Management:
Crigler Massage: Gentle massage of the tear sac area to help open the blocked duct.
Warm Compresses: To reduce swelling and promote drainage.
Antibiotic Eye Drops: For infections or discharge.
Probing:
A thin probe is inserted into the tear duct to open the blockage.
Typically performed in infants aged 6-12 months if symptoms persist.
Silicone Tube Intubation:
A silicone tube is placed in the tear duct to keep it open.
The tube is usually removed after a few months.
Balloon Dacryoplasty:
A balloon catheter is used to dilate the blocked duct.
Suitable for more resistant cases.
Dacryocystorhinostomy (DCR):
A surgical procedure to create a new drainage pathway from the tear sac to the nose.
Rarely needed in infants and usually reserved for severe or recurrent cases.
Prognosis of Congenital Nasolacrimal Duct Obstruction
Spontaneous Resolution: Most cases (90%) resolve on their own by the age of 12 months.
Successful Treatment: For cases requiring intervention, the success rate of probing or silicone intubation is over 90%.
Congenital Nasolacrimal Duct Obstruction Treatment in Turkey
Turkey is a leading destination for the treatment of congenital 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 CNLDO Treatment?
Expert Surgeons: Turkey is home to highly skilled pediatric 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 for precise diagnosis and treatment.
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:
Parents can have an online consultation with Dr. Ayşe Dolar Bilge to discuss their child’s condition and treatment options.
A personalized treatment plan is created based on the diagnosis.
Diagnostic Tests:
Clinical examination and tear drainage tests.
Imaging (if necessary) to assess the anatomy of the tear drainage system.
Treatment:
Conservative management (massage, warm compresses, antibiotic drops).
If needed, probing, silicone intubation, or balloon dacryoplasty is performed.
Recovery and Aftercare:
Parents are provided with detailed post-operative instructions.
Follow-up appointments are scheduled to monitor progress.
Advantages of CNLDO 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 Parents
Consult a pediatric ophthalmologist if your child shows symptoms of CNLDO.
Follow the recommended conservative management techniques (e.g., Crigler massage).
If symptoms persist beyond 12 months, consider medical intervention.
Choose a reputable clinic or surgeon with experience in pediatric lacrimal system surgeries.
Conclusion
Congenital nasolacrimal duct obstruction is a common but treatable condition in infants. While most cases resolve on their own, some may require medical intervention. Turkey, with its advanced medical facilities, experienced specialists like Dr. Ayşe Dolar Bilge, and affordable prices, is an excellent choice for CNLDO treatment. Whether you are a local or an international patient, Turkey offers top-quality care and exceptional results. If your child is experiencing symptoms of CNLDO, consult with a qualified specialist to explore your treatment options.
English
