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Eye: blocked tear duct 01

ISSN 2398-2950

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Eye: blocked tear duct 01

  1. This 9yr old MN DSH presented with unilateral epiphora, periorbital alopecia and localized skin inflammation.
  2. A 12m history of non-painful, unilateral watery ocular secretions were reported, with discomfort occurring only in the preceding two weeks.
  3. Ophthalmological examination of the globe was unremarkable, no distichiasis observed. Cornea was fluorescein negative.
  4. Fluorescein took 10 minutes to appear at the nostril on the affected side, but appeared at the other nostril very quickly.
  5. Diagnosis was made of unilateral partial nasolacrimal duct blockage with secondary skin inflammation.
  6. Treatment with topical antibiotic and steroid gel was initiated.
  7. The owner declined further investigation at this time, but differentials would include genetic abnormality to nasolacrimal duct, dental disease, polyp, neoplasia or trauma.