Chronic Dacryocystitis and Nasolacrimal Duct Obstruction

Infants with chronic dacryocystitis usually present to the physician with a chronic history of tearing and crusting with a chronic yellow discharge. Topical antibiotics, such as a fluoroquinolone four times daily, should be used. The mother should be taught to compress or massage the lacrimal sac four to six times daily. Approximately 80% of these inflammations resolve spontaneously by age 6 to 12 months. If treatment is not successful or if dacryocystitis persists, the patient should be referred and the nasolacrimal duct system irrigated between 6 and 10 months of age. Before age 14 months, a single probing is curative in about 90% of cases.

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