Cat Blocked | Tear Duct Link

Feline nasolacrimal duct obstruction is a manageable yet often chronic condition that requires a systematic diagnostic approach. The fluorescein dye transit test and ductal flushing remain essential diagnostic and therapeutic tools. Clinicians should differentiate congenital (breed-associated) from acquired (inflammatory, neoplastic, traumatic) causes to guide prognosis and treatment. While medical management suffices for mild cases, surgical bypass is available for severe, refractory obstructions. Further research into the role of viral rhinitis in chronic feline NLDO would improve long-term management strategies.

Epiphora is a common presenting complaint in feline veterinary practice. While differential diagnoses include excessive tear production (e.g., reflex tearing due to corneal ulcers or uveitis) or poor eyelid conformation (e.g., entropion), a significant proportion of cases are attributed to obstruction of the nasolacrimal drainage system. The condition can be congenital, often seen in brachycephalic breeds, or acquired secondary to trauma, inflammation, or neoplasia. Chronic obstruction can lead to mucoid discharge, bacterial dacryocystitis (inflammation of the lacrimal sac), and discomfort. This paper aims to provide a comprehensive overview of NLDO in cats, equipping clinicians with the knowledge to diagnose and manage this condition effectively. cat blocked tear duct

Congenital NLDO is most frequently observed in brachycephalic breeds such as Persians, Himalayans, and Exotic Shorthairs. Due to their flattened facial conformation, the nasolacrimal duct may be compressed, narrowed, or fail to develop a patent distal opening (functional imperforate punctum). In some kittens, the puncta may be anatomically absent (atresia). Feline nasolacrimal duct obstruction is a manageable yet

Complete slit-lamp biomicroscopy should rule out corneal disease (ulcers, keratitis), uveitis, or glaucoma as causes of reflex tearing. While medical management suffices for mild cases, surgical

Using a lacrimal cannula (e.g., 24-26 gauge), sterile saline is gently flushed through the superior punctum. Patency is confirmed if fluid flows freely from the nostril. Resistance or reflux from the same punctum indicates obstruction.