A tear duct infection (dacryocystitis) is a painful condition that develops when the tear drainage system becomes blocked. At Houston Oculofacial Plastic Surgery, we help patients find relief from the discomfort, swelling, and vision problems this condition can cause. Early recognition of symptoms and proper treatment in Houston, Texas, is key to preventing complications.
Causes of Tear Duct Infections
Tear duct infections typically develop due to a blocked tear duct, which prevents tears from draining properly. This blockage creates an environment where bacteria can thrive, leading to infection. Common causes include:
- Bacterial Infections – The most frequent cause of dacryocystitis is bacterial overgrowth, often from Staphylococcus aureus or Streptococcus species.
- Chronic Inflammation – Conditions like sinus infections, allergies, or chronic eye inflammation can contribute to tear duct obstruction.
- Nasal Abnormalities – Structural issues such as nasal polyps or a deviated septum can interfere with tear drainage.
- Aging-Related Narrowing – As people age, the tear ducts may become narrower, increasing the risk of blockages.
- Trauma or Surgery – Previous facial injuries or nasal surgeries can lead to scarring and obstruction of the tear drainage system.
Symptoms of a Tear Duct Infection
A blocked tear duct infection can cause noticeable discomfort and visible swelling. Common symptoms include:
- Eye Swelling and Pain – Redness, tenderness, and swelling near the inner corner of the eye.
- Excessive Tearing – Watery eyes due to improper tear drainage.
- Pus or Mucus Discharge – A yellow or green discharge may be present, especially when pressing on the affected area.
- Crusting Around the Eye – Dried discharge can accumulate along the eyelids.
- Blurry Vision – Excessive tearing and swelling may temporarily affect vision.
- Fever – In severe cases, an infection can cause systemic symptoms like fever and chills.
Tear Duct Infections Treatment
Dr. Sami takes a personalized approach to treating tear duct infections, considering each patient’s specific condition and needs. Treatment options range from conservative approaches to surgical intervention when necessary.
- Antibiotics
For mild to moderate infections, oral antibiotics such as amoxicillin-clavulanate or cephalexin are often prescribed to eliminate bacterial growth. In more severe cases, intravenous antibiotics may be necessary.
- Warm Compresses and Massage
Applying a warm compress to the affected area several times a day can help reduce swelling and promote drainage. Gentle massage of the tear duct may also help clear minor blockages.
- Surgical Intervention
If the infection recurs or does not respond to conservative treatments, Dr. Mirwat S. Sami will perform surgical options when necessary:
- Dacryocystorhinostomy (DCR) – This procedure creates a new drainage pathway between the tear sac and the nasal cavity, bypassing the blocked duct.
- Balloon Dilation – A small balloon is inserted and inflated to widen the tear duct.
- Stent Placement – A tiny tube is placed in the duct to keep it open and allow proper drainage.
When to Seek Medical Attention
If you experience persistent eye swelling and pain, worsening redness, or fever, consult a specialist promptly. Left untreated, a blocked tear duct infection can lead to serious complications:
- Abscess Formation – In some cases, the infection can cause a buildup of pus in the tear sac, leading to a painful, swollen lump near the inner corner of the eye. This may require drainage to relieve pressure and clear the infection.
- Orbital Cellulitis – If the infection spreads beyond the tear duct, it can affect the tissues around the eye, causing severe swelling, difficulty moving the eye, vision changes, and fever. This is a medical emergency that requires immediate treatment with intravenous antibiotics to prevent serious complications, including vision loss.
Seek urgent care if you notice rapidly worsening pain, vision changes, difficulty moving the eye, or high fever.
Get Expert Care for Tear Duct Infections
Living with tear duct infection symptoms can be uncomfortable and concerning. As a board-certified oculofacial plastic surgeon, Dr. Sami has helped countless patients find relief through targeted treatment plans. If you’re experiencing eye discomfort or excessive tearing, we’re here to help. Schedule your consultation today at Houston Oculofacial Plastic Surgery.
