Abstract
Congenital nasolacrimal duct obstruction is the blockage of the lacrimal drainage system. It occurs in approximately 5 to 20% of normal newborn infants. A history of tearing and mucous or mucopurulent discharge and recurrent pink eye in a young child should alert the physician to the presence of nasolacrimal duct obstruction. Usually this condition is diagnosed clinically, though there are some investigations for precise diagnosis. Treatment is supportive and non surgical in 90 to 95% of cases, only 5 to 10% patients need surgical intervention. Outcome is good with minimal complications.
Highlights
Master X, a 3 months old baby boy was taken to a local health centre with the complaints of watering of both eyes since birth, and occasional discharge from both eyes
This condition could be avoided by having a basic knowledge on epiphora, its common cause, importance and technique of sac massage and timely referral to an ophthalmologist
Contraction of the orbicularis muscles creates a pumping action that facilitates the flow of tears through the lacrimal system [7]
Summary
Master X, a 3 months old baby boy was taken to a local health centre with the complaints of watering of both eyes since birth, and occasional discharge from both eyes. At 11 months of age, his eyes became dark red, watering increased, used to start crying whenever eye drop was applied and there was peri-orbital redness At that stage he developed keratoconjunctivitiswith orbital cellulitis which is very painful and a threat for normal vision. This condition could be avoided by having a basic knowledge on epiphora, its common cause, importance and technique of sac massage and timely referral to an ophthalmologist. Contraction of the orbicularis muscles creates a pumping action that facilitates the flow of tears through the lacrimal system [7] This is the reason of runny nose during crying or having watery eyes from an allergy, and why one can sometimes taste eye drops. Bilateral.The rate of spontaneous resolution is estimated to be 90% within the first year of life [11].This condition is termed as dacryostenosis or infantile epiphora
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