Recently born Pippi (pseudonym)
The eyes are big and bright,
Even when there is no crying,
Her eyes were also watery,
It's very loving to watch.
But parents pay attention
This may not be cute,
It's a disease.
Recently, mom found that Pippi's big eyes were always covered with yellow secretions every morning. She began to get nervous, took Pippi to the ophthalmology department of Fujian Provincial Maternal and Child Health Hospital, and found that the reason why Pippi's eyes were always watery was actually suffering from congenital tear duct obstruction and lacrimal cystitis.
Why do babies have obstruction of the tear ducts?
Many parents see the newborn's eyes watery and think it is normal.
However, according to Xiong Lichun, health ambassador of Fujian Health News and deputy chief physician of the Department of Ophthalmology of Fujian Provincial Maternal and Child Health Hospital——
When the baby is born, the outlet at the lower end of the nasolacrimal duct is closed by an innate film, which mostly opens on its own 4-6 weeks after birth.
However, if the film does not degenerate and break, the blocked tear fluid and bacteria remain in the tear sac, which will cause secondary infection, tearing and a large amount of yellow purulent discharge, that is, neonatal tear bursitis.
If left untreated, pus from the tear sac is constantly discharged into the conjunctival sac, which can lead to inflammation of the conjunctiva and cornea, cause corneal ulcers, and even develop endophthalmitis, posing a serious potential threat to the eyeball.
The eyes are always tearful and need to be treated step by step
Neonatal tear duct obstruction and lacrimal bursitis should be standardized as soon as possible, and can be divided into two types: non-surgical and surgical treatment.
Non-surgical treatment:
It can be observed and massaged within 3 months, and if there is an infection, it can be treated with antibiotic eye drops.
During the massage, parents should trim their nails, wash their hands, and use their fingers to press the tear sac, pressing on the root of the nose and the center of the inner corner of the eye.
If the baby has a lot of eye secretions, it is necessary to press the secretions in the tear sacs as much as possible, and wipe them clean with a cotton swab, eye drops, at this time, the liquid is easier to enter the tear sacs to play an anti-infective role.
In addition, parents use their fingers to compress the tear sacs, which should be pressed on the baby's nose root and the center of the inner corner of the eye, pressing down along the side of the nose bridge, with a little force, generally 4-6 times / return, 3-4 times a day, through massage to flush the membrane at the lower end of the nasolacrimal tube.
If massaged,
Babies still have more tears and secretions,
Xiong Lichun suggested after 3 months
Tear duct irrigation and tear duct access surgery are performed.
Tear duct flushing:
Tear duct irrigation can determine whether the baby's tear duct is really blocked, and it is also an indispensable method for treating chronic lacrimal bursitis.
When flushing the tear duct, if the baby has a swallowing action in his mouth, or if the doctor can observe the outflow of liquid from the nasal cavity, the irrigation fluid can flow normally.
For children who cannot be rinsed once, the tear duct can be rinsed again at intervals of 2 weeks.
Within 3 days after lacrimal irrigation, parents should suspend the lacrimal sac massage to avoid local tissue damage.
Performed by babies under 1 year of age
During tear duct exploration surgery, local anesthesia is used,
Most people over 1 year old are general anesthesia.
Lacrimal tunnel access surgery:
Let your baby fast and water for 1 hour before exploring. Assist in pressing your baby's head and limbs as you probe.
After the probe, there may be some bloody tears, snot and saliva, etc., parents do not have to panic excessively, subcutaneous edema or edema occurs, and parents need to gently press the tear sac.
For children who cannot be rinsed after one tear duct exploration, the tear duct can be probed again at intervals of 4 weeks, and the massage can be suspended for 1 week after each exploration.
Xiong Lichun reminded that after the tear tunnel exploration operation, do not let the baby catch a cold.
Especially in autumn and winter, once you have a cold and nasal congestion, it is easy to cause the tear duct to block again.
If repeated multiple times tear duct probe
If it is still unsuccessful, it is invalid,
Lacrimal catheterization under general anesthesia should be considered.
Lacrimal catheterization under general anesthesia:
Many parents are distressed that their children cannot bear early surgery and hope that they will not go to the hospital for surgery when the baby grows up.
"However, studies have shown that the success rate of tear duct access surgery is related to the age of the child, and the younger the age, the higher the success rate." To get good results, your baby can consider exploring for the first time when he turns 4 months old. Xiong Lichun said.
Fujian Health Daily all-media reporter: Lin Ying
Source: Fujian Health News