Nasolacrimal duct issues
Obstruction (click here for
- Common (5% of infants)
- Obstruction occurs at the distal end
- No associated conjunctival inflammation, photophobia, or corneal clouding.
- Course: 95% resolve by 13 months of age
- Treatment: Digital massage 2-3x/day; Nasolacrimal duct probing if
persistent after 13 months of age
Glaucoma, congenital: epiphora (tearing) is a sign of glaucoma (will see rhinorrhea)...
obstruction of the nasolacrimal duct, which has NO rhinorrhea
- Bacterial infection of the lacrimal sac
- Manifested by edema, erythema and tenderness
- Treatment: Systemic antibiotics
CHLA Board Review 2005