Evaluation of Non Surgical Management in Resolution of Congenital Blockage of Nasolacrimal Duct.

ABSTRACT

Background: Congenital Nasolacrimal Duct Obstruction (NLDO) affects 1% to 20% of infants. The non-surgical treatment includes lacrimal sac massage, whereas some cases need surgical intervention. The present study was conducted to prove that maximum number of cases resolve within six months of non-surgical management in infants aged new born to one year. Methods: This is a prospective and observational study in which 319 infants suffering from Congenital Nasolacrimal Duct Obstruction were treated with lacrimal sac massage and topical antibiotics. The symptoms of the patient were assessed after six months of treatment. Results: In infants new born to 8 months of age (233 eyes), more than 50% with NLDO will resolve within 6 months with non-surgical management. Conclusion: So the experience of rate of NLDO resolution in infancy without surgery will help clinician and parents effectively discuss treatment options.