TEAR DUCT SURGERY When you go home after tear duct surgery, you can expect your nose to run. This discharge will be blood stained at first, but it will gradually become clear. Do not expect to be able to breathe properly through your nose for at least a few weeks, as any swelling caused by your operation may still be going down. You may find that there is bruising around your eyes and face; this will take about a week to go away. Sometimes this can be severe and may take three weeks to go away. You may experience headaches, and generally feel ‘bunged-up’, like you do when you have a cold. You may also find that your nose is blocked with dried blood. Do not pick at this, as not only may your nose start bleeding, but you could introduce infection. Your nose will clean itself of dried blood in its own time, but if you find your nose is very blocked, please do the following nasal hygiene. • use a pint of cooled (body temperature) boiled water and dissolve in it one teaspoon of salt and bicarbonate of soda (baking soda). Several times a day, sniff the liquid gently up both the sides of the nose. This will help loosen any crusts and blood clots. Do this for several weeks. If your nose starts to bleed, either put an ice cube in your mouth and suck it, or make an ice pack (get a plastic bag and fill it with ice cubes or use a bag of frozen vegatables) and hold this against your forehead. EYE CLINIC If the bleeding persists, go to the nearest Accident and Emergency Department. You may also have had tiny tubes threaded through your tear ducts. These will be removed approximately three months after your operation, on return to the clinic. If you need to sneeze, gently press the inner corner of your eye when this happens to stop the tubes being forced out of place. Try to give up smoking, and, if any members of your family smoke, ask them to go into another room or into the garden. Keep away from smoky atmospheres and crowded places, such as pubs and clubs. If at all possible, try to stay within your home environment and keep away from anyone who has a cough or a cold. Remember: • try not to knock your nose • do not blow your nose • try not to lift or carry heavy items. You should try to follow the above advice for about two weeks. If you need any further help or advice, please contact us at any time by telephoning (01302) 366666 and asking for the ENT Ward, or (01302) 553143 (direct line). WPR3262 July 2009 EYE CLINIC
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