Congenital Nasolacrimal Duct Obstruction

Congenital Nasolacrimal Duct Obstruction (CNLDO) can lead to excessive tearing in your newborn infant that is noted around 6-8 weeks of life. The eyelashes will appear matted together, there will be both tears and mucous which could often be confused for an eye infection. The cause of the obstruction is often a mucosal valve at the end of the lacrimal system which when open, drains the tears into the nasal cavity. Having the tears sit undrained may lead to an area of bacterial growth that may cause an infection. In such a case, the white of the eye will be red and there may be discolored discharge. If this occurs, please come in immediately to see your pediatrician or eye care provider.

Kahook Goniotomy

Goniotomy is a surgical procedure in which the doctor uses a lens called a goniolens to see the structures of the front part of the eye. An opening is made in the trabecular meshwork, the group of tiny canals located in the drainage angle, where fluid leaves the eye. The Kahook Dual Blade is a novel goniotomy blade created to produce a more complete removal of trabecular meshwork through a minimally invasive approach.

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