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Living with Familial congenital nasolacrimal duct obstruction

A rare inherited condition in which a baby's tear drainage duct is blocked, causing watery eyes.

Understanding Familial congenital nasolacrimal duct obstruction

Familial congenital nasolacrimal duct obstruction is a rare genetic condition in which the tear drainage system is blocked from birth.

It runs in families and is seen during pregnancy or in newborns. Signs may include a lump at the inner corner of the eye, infection of the tear sac, a stuffy nose, and swelling around the eye.

Signs & symptoms

GARD lists this as the most common symptom:

  • Watery eyes (epiphora)
  • A lump at the inner corner of the eye
  • Tear sac infection (dacryocystitis)
  • Stuffy nose

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include ear, nose, and throat specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in IGSF3 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Will the duct open on its own, or is a procedure needed?
How can we prevent eye infections?
Can genetic testing for the IGSF3 gene confirm this diagnosis?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesIGSF3

Changes in the IGSF3 gene cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: lacrimal duct defect; lacrimal puncta, absence of

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Familial congenital nasolacrimal duct obstructionGARD ID 17784 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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