Blocked tear duct

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Risk factors

By Mayo Clinic staff

Certain factors increase your risk of developing a blocked tear duct:

  • Age and sex. Older women are at highest risk of developing blocked tear duct due to age-related eye changes.
  • Chronic eye inflammation. If your eyes are continually irritated, red and inflamed (conjunctivitis), you're at higher risk of developing a blocked tear duct.
  • Previous surgery. Previous eye, eyelid, nasal or sinus surgery may have caused some scarring of the duct system, later resulting in a blocked tear duct.
  • Glaucoma. Anti-glaucoma medications are often used topically on the eye. If you've used these or other topical eye medications, you're at higher risk of developing a blocked tear duct.
  • Previous cancer treatment. If you've had radiation or chemotherapy to treat cancer, particularly if the radiation was focused on your face or head, you're at higher risk of developing a blocked tear duct.
References
  1. DelGaudio JM, et al. Nasolacrimal duct orifice cysts in adults: A previously unrecognized, easily treatable cause of epiphora. The Laryngoscope. 2007;117(10):1830-1833.
  2. Casady DR, et al. Stepwise treatment paradigm for congenital nasolacrimal duct obstruction. Ophthalmic Plastic and Reconstructive Surgery. 2006;22(4):243-247.
  3. Goldstein SM, et al. Comparison of monocanalicular stenting and balloon dacryoplasty in secondary treatment of congenital nasolacrimal duct obstruction after failed primary probing. Ophthalmic Plastic and Reconstructive Surgery. 2004;20(5):352-357.
  4. Becelli R et al. Posttraumatic obstruction of lacrimal pathways: A retrospective analysis of 58 consecutive naso-orbitoethmoid fractures. Journal of Craniofacial Surgery. 2004;15(1):29-33.
  5. Mandeville JT et al. Obstruction of the lacrimal drainage system. Current Opinion in Ophthalmology. 2002;13(5):303-309.
  6. Tan AD, et al. Congenital nasolacrimal duct obstruction. International Ophthalmology Clinics. 2001;41(4):57-69.
  7. Mills DM, et al. Acquired nasolacrimal duct obstruction. Otolaryngology Clinics of North America. 2006;39(5):979-999.
  8. Kapadia MK, et al. Evaluation and management of congenital nasolacrimal duct obstruction. Otolaryngology Clinics of North America. 2006;39(5):959-977.
  9. Woog JJ, et al. Endoscopic dacryocystorhinostomy and conjuctivodacryocystorhinostomy. Otolaryngology Clinics of North America. 2006;39(5):1001-1017.
  10. Hurwitz JJ. The Lacrimal drainage system. In: Yanoff. Ophthalmology. 2nd ed. Philadelphia, Pa.:Mosby Inc.; 2006. http://www.mdconsult.com/das/book/body/104049824-3/744373637/1197/56.html#4-u1.0-B0-323-01634-0..50102-4_2729. Accessed July 29, 2008.

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Oct. 16, 2008

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