What is a blocked tear duct?
The inner corner of each eye contains a small sac where fluid collects to produce tears. Sometimes the outlet of this sac gets plugged up with cells and mucus. When this happens, the plug needs to be gently massaged out with your help. Sometimes the eye can get infected; if you see signs of an eye infection, call your child's doctor or nurse practitioner as soon as possible.
How can I tell if my baby has a blocked tear duct?
A blocked tear duct usually occurs in the newborn period before your baby is two months old. It can occur in one eye or both eyes. If you baby has a blocked tear duct, her eye is probably not red or swollen, but you may notice water coming from one or both eyes, even when she isn't upset or crying. When your baby is crying, you may notice that the nostril on the blocked side remains dry.
What should I do?
The most important thing that you can do is apply a warm compress to the affected side, followed by a gentle massage. Begin by washing your hands with soap and warm water. Then wet a washcloth with warm water, and hold it over the affected eye for one or two minutes. Make sure that the cloth is not hot, because your new baby has very sensitive skin. After the warm compress is removed, you can use a cotton swab or your smallest finger and begin massaging the tear duct to get rid of the plug. Being at the inside corner of the eye and massage downward. Do this very gently for six to eight strokes. You should repeat this process three times a day. The blocked tear duct should get better after a few days. If it continues to water, don't hesitate to call your baby's nurse practitioner or doctor.
When should I worry about my baby's eye?
You should call your doctor or nurse practitioner right away if you notice:
Adapted from Healthy Steps. Edited and Compiled by the Center for Promotion of Child Development Through Primary Care 2011