17260 Blocked Tear Duct Nasolacrimal Duct Obstruction
Informed by recognized medical guidance
Overview
A blocked tear duct happens when the small passage that drains tears from your eye into your nose becomes blocked or narrowed. This causes tears to overflow and makes the eye watery and sticky.
Key facts
- It is common in babies, and often clears by itself before age one.
- In adults, it can be caused by ageing, injury, or infection.
- Treatment is very effective, and simple home care can help in mild cases.
Yes. Blocked tear ducts are very common in newborns and also affect many older adults.
It most often affects babies, especially in the first few months of life, and adults over 40.
Symptoms
- Sudden severe pain in the eye or around it
- Rapid swelling and redness of the inner corner of the eye
- Fever with eye symptoms
- Any sudden change in vision, such as blurring or loss of sight
- ⚠Thick yellow or green discharge from the eye
- ⚠Eyelid becomes swollen and painful
- ⚠Watery eye does not clear after a few weeks, or is getting worse
Common symptoms
- Watery eyes (tears constantly running down your face)
- Mild redness or irritation of the eye
- Sticky or crusty eyelids, especially after sleeping
- A small swelling near the inner corner of the eye
Symptoms in children
- Symptoms are similar to adults, but babies often have watery eyes without pain or redness.
- Discharge may be yellowish and sticky around the eyelashes.
Symptoms in older adults
- In addition to watery eyes, older adults may notice pain or swelling near the inner corner of the eye.
- The eye may become dry or uncomfortable because of constant wiping.
Causes
Main causes
- In babies, the duct is often blocked because the opening hasn't opened up fully yet.
- In adults, the duct can narrow as part of ageing, or after an eye or nose injury.
- Infections, such as sinusitis or eye infections, can cause swelling that blocks the duct.
- Rarely, a growth, like a polyp, in the nose can press on the duct.
Risk factors
- Being a newborn or an older adult
- Having a previous eye or nose infection
- Having facial surgery or injury
- Having certain skin conditions like rosacea
When to see a doctor
See a doctor urgently if:
- If you or your child has any of the emergency symptoms listed above (severe pain, sudden swelling, fever, or vision change), call your local emergency number immediately.
- For a baby, if the eye is red and swollen, or there is a fever, see a doctor urgently.
Book a routine appointment if:
- If the tearing or sticky eye continues for more than a few weeks.
- If the discharge increases, or the eye becomes more uncomfortable.
- If you have a blocked tear duct and you're an adult, see a doctor for an assessment.
Diagnosis
A doctor or a specialist (such as an eye doctor) can usually diagnose a blocked tear duct by asking about your symptoms and looking at your eye. They may press gently on the corner of your eye to see if tears or discharge come out.
Tests that may be done
- A dye test – a harmless drop of yellow dye is placed in the eye and timed to see if it drains away.
- A flushing procedure – the doctor may gently flush fluid through the duct to see if it is blocked.
- An imaging test (rarely) – if the blockage is complex, a scan may be arranged.
What to expect at your appointment
Most people do not need any special tests. The doctor will examine your eye and eyelids, and may refer you to an eye specialist if the blockage does not get better or if there are signs of infection.
Treatment
Treatment depends on your age and how severe the blockage is. For babies, a simple massage technique and keeping the eye clean is often all that is needed. For older children and adults, medical or surgical treatments may be offered if the duct does not open on its own.
Self-care at home
- Gently wipe the eyelids and face with a clean, damp cloth, using a fresh spot for each wipe.
- Warm compresses (a clean cloth soaked in warm water) can help open the duct and soothe the area.
- For babies, your doctor or nurse can show you how to massage the tear duct – always ask before trying it.
- Keep your hands clean, and avoid touching or rubbing your eyes.
Medical treatments
If an infection is present, a doctor may prescribe antibiotic eye drops or ointment. To open a blocked duct, a doctor may do a quick procedure called 'probing' where a thin instrument is passed into the duct to clear it. In some cases, a balloon or a small tube may be placed to keep the duct open.
When is surgery considered?
If probing or other procedures do not help, a small operation may be recommended to create a new drainage path for tears. This is called a dacryocystorhinostomy (or DCR surgery) and is usually done by an eye specialist.
Living with this condition
Living with a blocked tear duct mainly means managing a watery, sticky eye. You may need to blot your eye during the day and keep the eyelid clean. Most people get used to this routine, and treatment usually improves the problem.
Lifestyle tips
- Use a clean tissue or cloth to dab tears from your eye, rather than rubbing.
- Protect your eyes from wind and sun with glasses or a hat if they help.
- Avoid sharing face cloths or towels with others to prevent spreading infection.
- If you wear contact lenses, ask your eye doctor for advice on how to care for your eyes.
Diet and exercise
There is no special diet for a blocked tear duct. Eating a healthy, balanced diet helps your immune system fight off infections. You can continue your normal exercise routine, unless your eye is swollen or painful.
Mental health and emotional wellbeing
Having a constantly watery or sticky eye can feel embarrassing or inconvenient, but it is a treatable condition. If it is affecting your confidence or mood, talk to your doctor. If you feel very anxious or low, or are in crisis, contact your local mental health crisis helpline or emergency services.
Prevention
Most blocked tear ducts cannot be prevented because they are caused by how the body develops or ages. However, you can reduce the risk of infection by keeping your eyes clean and treating eye infections quickly.
Vaccines
There is no vaccine for a blocked tear duct. Vaccinations for general health, such as for flu and other infections, are still recommended.
Screening programmes
There is no routine screening test for a blocked tear duct. It is usually noticed because of symptoms.
Complications
Long-term outlook
The outlook is very good. Most babies get better on their own in the first year. In adults, treatments such as probing and minor surgery have high success rates. Even if it takes time, there are many effective options to help you see and feel better.
Find support
External links open third-party websites. Ruqelo Health is not responsible for external content. Listing an organisation does not imply endorsement.
Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
Related conditions
Sources and guidance
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 31, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.