Massage over lacrimal sac

Massage over lacrimal sac

Congenital Nasolacrimal Duct
Obstruction
•Congenital NLDO- Membranous block of valve of Hasner
• Most open spontaneously by 4-6 weeks
• 90% resolve by 1st yr
Management of NLDO Obstruction
• 0-6 months: Crigler massage (massage over lacrimal sac)
• 6 months - 2yrs: Syringing & Probing (can be repeated thrice)
• > 2 years: 3 failed probing attempts or more than 2 yr (preferably 4 years) of
age you can go for DCR.