Eye: blocked tear duct 01
- This 9yr old MN DSH presented with unilateral epiphora, periorbital alopecia and localized skin inflammation.
- A 12m history of non-painful, unilateral watery ocular secretions were reported, with discomfort occurring only in the preceding two weeks.
- Ophthalmological examination of the globe was unremarkable, no distichiasis observed. Cornea was fluorescein negative.
- Fluorescein took 10 minutes to appear at the nostril on the affected side, but appeared at the other nostril very quickly.
- Diagnosis was made of unilateral partial nasolacrimal duct blockage with secondary skin inflammation.
- Treatment with topical antibiotic and steroid gel was initiated.
- The owner declined further investigation at this time, but differentials would include genetic abnormality to nasolacrimal duct, dental disease, polyp, neoplasia or trauma.