Hello and thanks for your question.
If this is something that does not go back down, then you have two options:
1. Wait until you can see an eye doctor OR
2. You can try to cut it and pull it out. To do this you would need to rotate the tube until you find the knot, snip the tube with scissors right at the knot and then make sure you have a handle on both ends to pull out. (it is just a loop of silicone that's threaded through your tear duct that goes down into your nose and back out the other eyelid).
If you think you can get to see an eye doctor tomorrow then I would wait, or wait as long as you can, but if this is absolutely driving you nuts and hurting your eye then I would proceed with option #2.
Does this information help address your concerns? Does this make sense? Do you have any other concerns that I haven't addressed?
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My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor.
I didn't specifically mention a nostril just because the way you had been describing things had been correct and I assumed that was understood. You are correct, it is going through the nose, but there shouldn't be any problem pulling that knot through the nose as it is fairly small. And it also doesn't matter what hole (top or bottom) of the eyelid you pull the knot through.
Does that make things more clear? Do you have any other questions I can answer?
Yes, you can do that, but I would be sure to have the knot exposed where you can grab it, either between the eyelids or where you're grabbing it through the nostril. Otherwise, when you cut it, it may be difficult to get the knot out from where it is. Does that make sense?
Of course, if there's no discomfort and can tolerate it in your nostril the way it is, it is better to leave it alone.