If your eyes feel constantly watery or you notice a gritty feeling, you might be dealing with punctal occlusion. That’s the medical term for a blocked tear duct – the tiny opening on the inner corner of each eye that lets excess tears drain away. When it gets clogged, tears can overflow onto your face, causing irritation and blurry vision.
The blockage usually forms because of inflammation, aging, or scar tissue. Common triggers include allergies, chronic eye infections, or even an overuse of eye drops that contain preservatives. Some people develop a natural narrowing of the punctum as they get older, which makes it harder for tears to pass through. If you’ve had eye surgery or experienced trauma around the eyes, those scars can also seal up the tiny passage.
The good news is that most cases are easy to fix. A doctor may recommend a simple procedure called punctal dilation, where they gently widen the opening with a small instrument. In more stubborn cases, they might use a laser or insert tiny stents to keep the duct open. Over‑the‑counter eye drops without preservatives can soothe irritation while you wait for treatment.
At home, you can help by keeping your eyelids clean. Warm compresses for 5–10 minutes a few times a day soften any debris and encourage natural drainage. Gentle massage of the inner corner, moving from the outer edge toward the nose, can also push out blockages. If allergies are part of the problem, an antihistamine eye drop or oral medication reduces swelling that contributes to the clog.
When you notice sudden changes – like a burst of watery eyes after a minor cold – it’s smart to schedule an appointment. An eye professional can confirm whether punctal occlusion is the cause and suggest the right treatment plan. Early care prevents long‑term discomfort and keeps your vision clear.
Bottom line: punctal occlusion is just a blocked tear duct, but you don’t have to live with it. Simple steps like warm compresses, clean eyelids, and professional help can restore normal drainage quickly. Stay aware of the signs, act early, and keep your eyes comfortable.
