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ICD-10 code: H04.539

Disease category: H04.53: Neonatal obstruction of nasolacrimal duct

Neonatal Obstruction of Unspecified Nasolacrimal Duct: Causes and Symptoms

Neonatal obstruction of the unspecified nasolacrimal duct is a common condition affecting newborns. It occurs when the tear duct, responsible for draining tears from the eye to the nose, is blocked or obstructed. Although it typically resolves on its own within the first year of life, understanding the causes and symptoms can help parents better manage the condition.

Causes:

  1. Anatomy: The nasolacrimal duct may be narrower or not fully developed in newborns, leading to blockages.
  2. Epiphora: Excessive tearing can occur due to an overproduction of tears, which may overwhelm the nasolacrimal duct's capacity to drain them.
  3. Conjunctivitis: Inflammation or infection of the eye can lead to swelling, which hinders proper tear drainage.
  4. Nasal congestion: Conditions like colds or allergies can cause nasal congestion, leading to increased pressure on the nasolacrimal duct, resulting in obstruction.

Symptoms:

  • Tearing: Excessive tearing or watery eyes are the most common symptoms of nasolacrimal duct obstruction in newborns.
  • Crusty eyelids: Due to the stagnant tears, the eyelids may become crusty or sticky, particularly after waking up.
  • Recurrent conjunctivitis: Blockage of the nasolacrimal duct can increase the risk of eye infections, leading to recurrent conjunctivitis.
  • Eye discharge: Pus-like or yellowish discharge may be present, indicating an infection or inflammation of the eye.

Diagnosing neonatal obstruction of the nasolacrimal duct typically involves a physical examination by a pediatrician or an ophthalmologist. Treatment is often unnecessary, as most cases resolve spontaneously within the first year of life. However, certain simple home care measures can help alleviate the symptoms and promote tear drainage.

Precautions:

  1. Cleanliness: Gently clean the baby's eyelids with a clean, warm washcloth to remove any crust or discharge.
  2. Massage: Massaging the tear duct area can help open the blockage. A healthcare professional can guide parents on the proper technique.
  3. Warm compresses: Applying a warm compress to the baby's closed eye can help relieve any discomfort and

    Treatment of Neonatal obstruction of unspecified nasolacrimal duct:

    Treatment Options for Neonatal Obstruction of Unspecified Nasolacrimal Duct

    Neonatal obstruction of the nasolacrimal duct is a common condition that affects newborns. It occurs when the tear duct, which is responsible for draining tears from the eyes to the nose, becomes blocked or narrowed. Although this condition usually resolves on its own, some infants may require treatment to ...

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