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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Eye Pain, Watery Eyes With Yellowish Discharge, Glued Shut In The Morning, Clogged Nose. What Could Be Wrong?

I am babysitting my bosses 2 year old daughter, she is complaining her eyes hurt. She has watery eyes with a yellowish discharge coming out often, very often. This morning one of her eyes was nearly glued shut. She has some coughing as well as a bit of a clogged nose but her nose isn t runny. What could be wrong with her? What can I do for her?
Thu, 31 Jan 2013
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Ophthalmologist,  's  Response
Dear Jennary, The 2 year old child with watering ,yellowish discharge and now one eye nearly glued can be due to two condition. One if the child is suffering from any conjunctivitis or dacrocystitis due to nasolacrimal duct blockage.If the eyes are red and discharge is mucopurulent type with matting of lashes and duration is short period then she may be suffering from bacterial conjunctivitis.You should urgently see an ophthalmologist who can take a smear of the discharge and start on antibiotic.Watering , discharge and glued eye with often clogged nose on and off is due to dacrocystitis (inflamation of the nasolacrimal sac) due to blockage of nasolacrimal duct.From your history it look more like dacrocystitis.You need to consult an ophthalmologist who can evaluate properly. If it is dacrocystitis the child may need antibiotic, nasolacrimal area massage,probing under anesthesia if the massage fails and later on dacrocystorhinostomy.An ENT evaluation may also be required to look for the causes of nasolacrimal duct blockage like sinusitis,deviated nasal septum etc.As for now, I would advise you to inform the parents about this matter or take the child to your nearest ophthalmologist who can help her out...TC.. Dr Ajay Shankar Kar,Cornea consultant, Sankar foundation eye hospital,Visakhapatnam.
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Child Has Eye Pain, Watery Eyes With Yellowish Discharge, Glued Shut In The Morning, Clogged Nose. What Could Be Wrong?

Dear Jennary, The 2 year old child with watering ,yellowish discharge and now one eye nearly glued can be due to two condition. One if the child is suffering from any conjunctivitis or dacrocystitis due to nasolacrimal duct blockage.If the eyes are red and discharge is mucopurulent type with matting of lashes and duration is short period then she may be suffering from bacterial conjunctivitis.You should urgently see an ophthalmologist who can take a smear of the discharge and start on antibiotic.Watering , discharge and glued eye with often clogged nose on and off is due to dacrocystitis (inflamation of the nasolacrimal sac) due to blockage of nasolacrimal duct.From your history it look more like dacrocystitis.You need to consult an ophthalmologist who can evaluate properly. If it is dacrocystitis the child may need antibiotic, nasolacrimal area massage,probing under anesthesia if the massage fails and later on dacrocystorhinostomy.An ENT evaluation may also be required to look for the causes of nasolacrimal duct blockage like sinusitis,deviated nasal septum etc.As for now, I would advise you to inform the parents about this matter or take the child to your nearest ophthalmologist who can help her out...TC.. Dr Ajay Shankar Kar,Cornea consultant, Sankar foundation eye hospital,Visakhapatnam.