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Q. The tear duct is swollen. Is this something to worry about?

Answered by
Dr. Manjunath Natarajan
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 08, 2018

Hello doctor,

I have a swollen tear duct. The right tear duct is swollen, does not hurt or itch. It has been there for a few years now. No changes in the size other than getting larger.

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Hi,

Welcome to icliniq.com.

From the photo you have attached (attachment removed to protect patient identity), it does not look like a tear duct swelling. It looks like a swelling arising from your conjunctiva and the exact diagnosis would only be possible with a slit lamp examination.

But, I can tell you that it is a harmless swelling as it has been gradually increasing since two years and has not caused you to have any symptoms yet. It does need a visit to the ophthalmologist, although it is not an emergency.

If you have a blocked tear duct, you will have symptoms such as constant watering, frequent infections which cause pain in your eye and discharge. I would like to know if you are suffering from any of these problems.


The Probable causes:

Previous eye infection.

Investigations to be done:

Slit lamp examination.

Differential diagnosis:

Conjunctival cyst.

Probable diagnosis:

Conjunctival granuloma.

Treatment plan:

Slit lamp examination and management depending on findings.

Regarding follow up:

Revert with more information to an eye care ophthalmologist online.--->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist


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