After our post-op follow-up appointment with Grace's ophthalmologist a few weeks ago, the doctor decided that Grace's tear duct was significantly blocked still. She referred us to an ophthalmic plastic surgeon, which immediately made me nervous. Plastic surgery?! Really? That's seems extreme. I made sure she knew my concerns in seeing a surgeon, especially plastic surgeon but she assured me that this surgeon wasn't THAT type. She does mostly medically necessary surgeries and wasn't the kind to be pushy to do a surgery in order to buy that new boat or car. haha I don't mean to sound so rode towards plastic surgeons... There is just a bad taste in my mouth about them doing all those nips and tucks and worldly changes to a person's appearance. Our doctor also explained that her own 3 sons had blocked tear ducts... 2 of them had it fixed with the same procedure Grace had, and the other needed surgery. Hearing that she recommended surgery not only as a doctor herself but as a MOTHER put my doubts to rest.
Ryan and I took Grace to see the surgeon for a consultation last week. We were still back and forth on whether or not having surgery was necessary when we know several kids whose eyes cleared up by the time they were 2. She (and the other doctor earlier) explained that because Grace's right tear duct probing went so smoothly and the actual metal of the probe didn't bend, and yet it still won't drain correctly, they are sure it's something that has to be corrected with surgery. There is possibly a deformation of the bone, like there isn't enough of an opening inside her nose at the end of the duct's pathway. I asked what it would be like for Grace when she's 10, 15, 30, etc if we didn't do the surgery. The surgeon explained that as a 15 year old wearing eye make up Grace would always be wiping her right eye which doesn't work with mascara! Plus she could get infections pretty often. Well, needless to say, that decided it for me at least! The jury is still out for Ryan though. He thinks we don't need to rush into a surgery right now and could do it in a few years. I feel like why not do it now while we have this surgeon ready to do it and we have the health insurance that will pay for 100% of it. I don't want to wait and do it wherever we go for residency and have to go through the whole process again with different doctors/surgeons.
So it's decided. I just need to schedule the first surgery for December or January... and then there is another surgery 6 months later to remove the stent they insert. In the first surgery they'll put Grace under anesthesia, try to insert the soft plastic stent into her tear duct, through to the nose and then if it goes through correctly they will tie it off with a knot. That will make it so that the skin forms around the plastic tube (which they remove in 6 months, leaving an open passageway). If they realize while in surgery that her nose isn't formed enough to get the stent in place then they will go to plan B... All I'll say about plan B is that it involves drilling into her nose and that we DON'T WANT PLAN B. I mean, obviously we can't choose, and whatever will fix the problem is a good thing, but it's more invasive and yucky (to Mom, at least). Ryan doesn't think it's a big deal, but he's not the mom, right? So we'll see how things go and hope that it goes smoothly instead of leading to plan B.
Just for the record, neither of us feel like this is a terrible thing that's happening to us or extremely upset by it. It's a bummer, sure. But we feel very much at peace with whatever has to happen and will deal with things as they come! :) I'm not posting this for pity or to worry anyone. It's just to keep loved ones in the loop and for family history purposes. I know a blocked tear duct isn't a life-altering issue and don't mean to sound dramatic, if it sounds that way at all. Thank you to everyone who shows concern and love when it comes to this issue! We really appreciate you all.
On a much happier note... This week Grace has decided her toys are boring and it takes a lot of work to find something she'll enjoy playing with quietly for a few minutes at a time. The other day I handed her our bucket of halloween candy (all in their wrappers... nothing she can get into or swallow). She had a good time sitting and playing with them, unloading and loading them back into the bucket, throwing them around the room, etc. But out of all the brightly colored wrappers, guess which ones she wouldn't let go of and carried all through the house...

???

Yep. The chocolate ones. That's my girl!