{"id":103,"date":"2013-07-15T10:51:32","date_gmt":"2013-07-15T09:51:32","guid":{"rendered":"http:\/\/www.vision-laser.fr\/?page_id=103"},"modified":"2019-06-17T10:03:13","modified_gmt":"2019-06-17T09:03:13","slug":"canal-lacrymal-du-nourrisson-bouche","status":"publish","type":"page","link":"http:\/\/www.vision-laser.fr\/en\/20-maladies-frequentes\/canal-lacrymal-du-nourrisson-bouche\/","title":{"rendered":"Blocked tear duct in infants"},"content":{"rendered":"<h2 class=\"translation-block\"><span style=\"font-size: 13px\">In infants and young children, episodes of <a title=\"Conjunctivitis\" href=\"http:\/\/www.vision-laser.fr\/en\/20-maladies-frequentes\/conjonctivites\/\" target=\"_self\">conjunctivitis<\/a><\/span><span style=\"font-size: 13px\">may occur repeatedly. Most often this is linked to the persistence of a small membrane that closes the <\/span><strong style=\"font-size: 13px\">tear duct<\/strong><span style=\"font-size: 13px\"> (duct through which excess tears flow into the nasal passages).<\/span><\/h2>\n<p class=\"translation-block\">Clinically, non-permeability of the nasolacrimal duct results in dirty, unilateral or bilateral <strong>tearing<\/strong>, beginning 8 to 15 days after birth, with more or less purulent secretions. Indeed, the inability to flow will cause tears to stagnate on the conjunctiva. This abnormal stagnation will promote superinfection of the <strong>eye<\/strong> membranes by germs. Most of the time, it is enough to clean and wait for the small membrane to perforate. This can take several weeks and conjunctivitis can be recurrent and will need to be treated with <strong>antiseptic eye drops<\/strong> or antibiotics.<\/p>\n<p class=\"translation-block\">If the problem persists, we will have to re-permeabilize the tear duct: to do this, we perforate the membrane with a very fine thread that is passed into the opening of the tear duct. This is a simple procedure performed by the <strong>ophthalmologist<\/strong>.<br>\nIt should not be done too early (before 3 months) because things often get better spontaneously, nor too late (after 6 months) because then it is difficult to probe this tiny orifice in a baby who is struggling.<\/p>\n<p class=\"translation-block\">To summarize, the <strong>treatment regimen<\/strong> is as follows:<\/p>\n<ul>\n<li>Between 0 and 2 months: clean the eye with saline solution upon waking and reserve antibiotics for real infectious episodes.<\/li>\n<li>If this tearing persists after 6\/8 weeks, you should consult an ophthalmologist.<\/li>\n<li>Between 2 and 3 months: attempt to rupture the membrane by a series of massages carried out by pressing on the canaliculi with a finger placed at the level of the internal canthus and exerting good pressure on the lacrimal sac.<\/li>\n<li>Between 3 and 6 months: canal probing without anesthesia, performed by an ophthalmologist.<\/li>\n<li>After 12 months: catheterization under general anesthesia to place a probe in the canal, removed after 6 weeks.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Chez le nourrisson et le jeune enfant, des \u00e9pisodes de conjonctivites\u00a0peuvent survenir \u00e0 r\u00e9p\u00e9tition. Le plus souvent cela est li\u00e9 \u00e0 la persistance d\u2019une petite membrane qui ferme le canal lacrymal \u00a0(canal par lequel l\u2019exc\u00e8s de larme est \u00e9coul\u00e9 vers les fosses nasales). Cliniquement, la non perm\u00e9abilit\u00e9 du canal lacrymo-nasal se traduit par un larmoiement [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":102,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"om_disable_all_campaigns":false,"inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-103","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/pages\/103","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/comments?post=103"}],"version-history":[{"count":14,"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/pages\/103\/revisions"}],"predecessor-version":[{"id":478,"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/pages\/103\/revisions\/478"}],"up":[{"embeddable":true,"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/pages\/102"}],"wp:attachment":[{"href":"http:\/\/www.vision-laser.fr\/en\/wp-json\/wp\/v2\/media?parent=103"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}