TY  - CHAP
M1  - Book, Section
TI  - Chapter 7. Excess Tearing in Infants
A1  - Lueder, Gregg T.
PY  - 2011
T2  - Pediatric Practice: Ophthalmology
AB  - Table  Graphic  Jump  Location|Download  (.pdf)|PrintThe  Problem“My  baby  looks  like  she  is  crying  all  the  time.”Common  CausesNasolacrimal  duct  obstructionOther  CausesOther  anatomic  abnormalities  of  the  lacrimal  system•  Absent  lacrimal  puncta•  Lacrimal  fistulaMisdirected  eyelashesGlaucomaCorneal  problemsRetinal  dystrophiesKEY  FINDINGSHistoryNasolacrimal  obstruction  (by  far  most  common)Overflow  tearingPeriocular  crusting,  worse  in  morningChild  otherwise  fine,  does  not  appear  bothered  by  problemOther  anatomic  problemsAbsent  lacrimal  punctaExcess  tearing  onlyNo  crustingLacrimal  fistulaExcess  tearingTears  emanate  from  fistula  tract  between  the  eye  and  the  noseMisdirected  eyelashesParents  note  in-turning  of  lower  eyelidExcess  tearing,  mucoid  dischargeCornea  problemsChild  is  light  sensitiveFrequent  blinkingEye  rubbingGlaucomaOne  or  both  eyes  larger  than  normalGlassy  or  cloudy  appearance  to  corneaTearing  only,  not  crustingPhotophobia  (light  sensitivity)Retinal  dystrophiesPhotophobiaUsually  markedly  decreased  visionNystagmusExaminationNasolacrimal  obstructionIncreased  tear  lakes,  periocular  crustsChild  usually  otherwise  normalConjunctiva  white,  no  inflammationCornea  clearOther  anatomic  abnormalitiesPunctal  atresiaSame  except  no  ocular  dischargeLacrimal  fistulaExcess  tears  (arise  from  fistula)Eyelid  malpositionSame  except  mucoid  dischargeLower  eyelashes  turned  inward  against  cornea  (epiblepharon)Corneal  problemsPhotophobiaCloudy  corneaGlaucomaOne  or  both  eyes  enlarged  (buphthalmos)Cloudy  or  glassy  appearance  to  corneaClear  tears  onlyPhotophobiaRetinal  dystrophiesPhotophobiaDecreased  visionNystagmus  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=56152832
ER  -