Mukhdoom Rakhshan Jameel Qureshi
Sharda University, India
Title: Causes of tearing In pediatric age group
Biography
Biography: Mukhdoom Rakhshan Jameel Qureshi
Abstract
There are numerous causes of childhood tearing, among them the following are the most important:
- Nasolacrimal Duct Obstruction
- Congenital Glaucoma
- Corneal Ulcer
- Conjunctivitis
- Distichiasis
The commonest causes of childhood tearing are nasal lacrimal duct obstruction. This is typically due to a mucus membrane obstruction at lower end of nasal lacrimal duct estimated to be present in up to 20% of new born babies. Lacrimal apparatus comprises of lacrimal gland, accessory lacrimal gland, lacrimal passage which includes puncta canaliculi, lacrimal sac and nasal lacrimal duct. Clinical picture varies from mild watering to sticky mucopurulent discharge .In 90% children the symptoms resolve spontaneously before one year of age. Conservative treatment includes sac massage, anti-inflammatory drops or antibiotic drops. The 10% cases which do not respond to conservative treatment are subjected to probing of nasal lacrimal passage followed by syringing. Probing is done at 6 months of age and if it fails, repeat of two probing can be done at an interval of 3 months.