Patient's question:
[Condition Description: The infant had tears when born but no eye discharge. Currently at 6 months, the baby has red eyelids, excessive eye discharge that is yellow and sticky, and difficulty opening eyes in the morning. Treatment history and effectiveness: The infant was born with a blocked lacrimal duct. Applied "Ke Heng" eye drops? Zhan Ci Sigma? Mile? 0 days old, underwent 5 pressure flushes at the local hospital's ophthalmology department. Currently using honeysuckle decoction to wipe the eyes, but there is no improvement. Desired help: What should be done to help the child recover to normal.]Doctor's answer:
Nasolacrimal duct obstruction parents should massage the affected eye's side of the bridge of the nose in an upward-to-downward sequence each day, applying moderate pressure to the lacrimal sac area. When massaging, the fingers should not slide or rub on the skin but should press the thumb firmly against the skin, focusing the force on the lacrimal sac area to create a sliding and massage motion from top to bottom. This massage can be performed 2-4 times daily. At the same time, antibiotic eye drops should be used, applied 3-4 times a day, with 1-2 drops per application. Before administering the eye drops, use a cotton swab to clean away any pus.If massage is ineffective, the child should be taken to the hospital for repeated lacrimal duct irrigation by an ophthalmologist. If the condition still does not improve, early lacrimal duct probing should be considered. Otherwise, it may lead to inflammation around the lacrimal sac or the formation of a lacrimal fistula. This is a type of fistula that is extremely difficult to cure completely and may also affect facial aesthetics.
For patients with recurrent lacrimal duct probing failure, lacrimal duct stenting may be considered as an alternative treatment.