Oftalmologia Pediátrica e Estrabismo

Epiphore in children

The most frequent cause of epiphora in children is a congenital obstruction of the nasolacrimal duct. It occurs in about 6% of the children, and in 1/3 of the cases the obstruction is bilateral. In general, it is due to the non-perforation of the membrane that separates the nasolacrimal duct from the lower meatus of the nasal fossa.

Characteristically, parents perceive the existence of mucous or mucous-purulent secretion on the conjunctiva or on the eyelashes of the baby, during the first days or weeks of its life.

When it is not solved, spontaneously or with medical treatment, during the first 9 months of life, the lacrimal tract should be probed.

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