If your baby’s eye waters constantly or gets sticky, especially on waking, a blocked tear duct is the most likely cause. Tears normally drain through a small channel from the inner corner of the eye into the nose. In some babies this channel has not fully opened at birth.
Signs of a blocked tear duct
- Tears overflowing onto the cheek, even when the baby is not crying
- Sticky discharge or crusting on the lashes, especially in the morning
- Usually one eye, though both can be affected
- The white of the eye stays white and the baby is otherwise well
Caring for it at home
- Wash your hands first
- Clean the eye gently from the inner to outer corner with cotton soaked in cooled boiled water, using a fresh piece each time
- Your doctor may show you a gentle massage over the tear sac, beside the nose, to help open the duct
Will it get better?
Most blocked tear ducts in babies clear on their own within the first year. If it persists, a short procedure to open the duct can be done, and your eye doctor will advise on timing.
See a doctor promptly if
- There is a red, swollen, tender lump at the inner corner of the eye
- The eyelids become red and swollen, or your baby has a fever
- The white of the eye becomes red
- The eye looks large or cloudy, or your baby is very sensitive to light. These can be signs of childhood glaucoma, which is urgent.
Learn about our tear duct and eyelid care and children’s eye care.
Frequently asked questions
Does my baby need antibiotic drops for a blocked tear duct?
Usually not. Drops may be prescribed if there is an infection. Your doctor will decide.
Can adults have blocked tear ducts?
Yes. In adults it can follow infection, injury or ageing, and it is treated differently. An eye exam will find the cause.
Sources
This article is for general information and does not replace an examination by an eye doctor. If you have symptoms, please book a consultation.