How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. James Your Own Question

Dr. James
Dr. James, Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 2282
Experience:  Eye Physician and Surgeon
20222826
Type Your Eye Question Here...
Dr. James is online now
A new question is answered every 9 seconds

I would like an opthamologist to answer my question. My almost

Resolved Question:

I would like an opthamologist to answer my question. My almost 2 year old daughter had tear duct probing and balloon dilation about 6 months ago. I had a few questions. She was symptomatic in one eye only, but the ped opthamologist probed and dilated both eyes because she said the asymptomatic eye had questionable obstruction and it could always become symptomatic later in life. Is it common during anesthesia, to probe both eyes even if only one is symptomatic? Also, now, every now and then when she is sick, the previously asymptomatic eye waters. Could this be from the procedure or could it just be normal mucous clogging duct? Thanks for your help.
Submitted: 2 years ago.
Category: Eye
Expert:  Dr. James replied 2 years ago.

Dr. James :

Hello.

Dr. James :

did you consent to the probing of both sides?

Customer:

My husband and I are both physicians, and it made sense to us when the doctor said that while under general anesthesia with low risk, it would be a good idea to check both eyes because a mild obstruction could present later. So, yes we consented to both sides because it sounded like the standard of what usually was done.

Dr. James :

I can understand the argument for having both sides probed since your daughter would be under general anesthesia anyways.

Dr. James :

From my training, our practice was to probe only the symptomatic eye.

Dr. James :

In my practice, I don't do too many kids, but would the same in only probing the symptomatic side.

Dr. James :

Doing both sides, however, would not be unreasonable.

Dr. James :

Regarding your second questions, I don't believe the probing caused any ill-effects.

Dr. James :

Do you have any additional questions?

Customer:

Can mucous clog a normal tear duct that is not narrowed and cause the eye to water while sick?

Dr. James :

The tearing during sickness is likely due to temporary block of the nasolacrimal duct due to inflammation of the mucosal tissues.

Dr. James :

Mucous can clog it up as well.

Dr. James :

But these effects should be temporary only.

Dr. James :

hello?

Customer:

So, do you think it is all unrelated to probing and balloon dilation in the previously asymptomatic eye? We just do not want to go back to a physician that did an unnecessary procedure that now may be causing problems and we have a follow up soon.

Dr. James :

Yes, I believe it is unrelated.

Dr. James :

Certainly, you can go to another pediatric ophthalmologist for a second opinion.

Dr. James :

to evaluate if there is blockage however, he may recommend another probing.

Dr. James :

Was both sides balloon dilated?

Customer:

Yes. Both sides were balloon dilated. There was a distal obstruction on the symptomatic eye and a more mild mid obstruction on the asymptomatic side. Would balloon dilation be more likely to cause post op issues?

Customer:

The ped ophth always balloon dilates with probing because he thinks that it increases the success rate of the procedure.

Customer:

I just thought maybe if the asymptomatic side were dilated distally that mucous would be more likely to plug up the distal aspect of the duct.

Dr. James :

Yes, balloon dilation increases the success.

Dr. James :

Mucous has nothing to do with the success or failure of the procedure.

Dr. James :

I doubt the probing caused the current symptoms.

Customer:

Thank you!

Dr. James :

You're welcome. Please remember to press accept so I can get credit for assisting you today.

Dr. James, Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 2282
Experience: Eye Physician and Surgeon
Dr. James and 2 other Eye Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 

Related Eye Questions