Lacrimal Duct Stenosis

(Blocked Tear Duct; Nasolacrimal Duct Obstruction; Lacrimal Duct Obstruction; Dacryostenosis)


Lacrimal duct stenosis is a narrowing of a tear duct (lacrimal duct). This condition can occur in children and adults. This fact sheet will focus on lacrimal duct stenosis in infants.
Lacrimal Duct
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The lacrimal duct (in blue) drains tears from the eye down into the nose. The opening of the ducts are near the inner corner of the eye.Copyright © Nucleus Medical Media, Inc.


In some babies, problems in normal development of the tear duct can cause lacrimal obstruction. A thin membrane may cover the opening of the duct into the nose.

Risk Factors

Factors that may increase your baby’s chance of lacrimal duct stenosis:


Lacrimal duct stenosis may cause:


The doctor will ask about your baby’s symptoms and medical history. The doctor will do an exam. Your baby may need to see a doctor who specializes in eye conditions in children if it persists.
The eye doctor may do a dye disappearance test. This test will help to confirm that there is a blockage in the tear duct.


Talk with the doctor about the best treatment plan for your baby. In infants, this condition often heals by itself in the first year of life.
Treatment options include:


There are no current guidelines to prevent lacrimal duct stenosis.


Healthy Children—American Academy of Pediatrics

National Eye Institute (NEI)


Canadian Ophthalmology Society

Caring for Kids—Canadian Pediatric Society


Blocked tear duct. Mayo Clinic website. Available at: Updated February 13, 2013. November 4, 2015.

Hurwitz JJ. The lacrimal drainage system. Ophthalmology. 2nd ed. St. Louis, MO: Mosby; 2004: 761-768.

Nasolacrimal duct obstruction. EBSCO DynaMed website. Available at: Updated February 15, 2011. Accessed November 4, 2015.

Tear duct obstruction and surgery. Nemours Kid's Health website. Available at: Accessed November 4, 2015.

Tearing. The Merck Manual Professional Edition website. Available at: Updated August 2014. Accessed November 4, 2015.

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