How is neonatal nasolacrimal duct obstruction treated?

Patient's question:

Here is the English translation of the provided text, with the newline characters ("") preserved as instructed:
Day
Detailed medical condition and purpose of consultation: Lacrimal duct obstruction
Current general condition: Right eye discharge of thick mucus
First follow-up question: Pre-treatment care methods,

Doctor's answer:

Hello: Due to the stenosis or obstruction of the nasolacrimal duct, tears are retained in the lacrimal sac, accompanied by bacterial infection. Symptoms include tearing and the discharge of mucous or purulent secretions from the lacrimal puncta when pressing the lacrimal sac area. The treatment using retrograde placement of a ball-tipped silicone tube for the nasolacrimal duct has shown satisfactory long-term efficacy. If a newborn suffers from nasolacrimal duct obstruction, the lacrimal sac is prone to recurrent dacryocystitis. In terms of treatment, the infection should be controlled first, and massage or surgical treatment should be adopted for congenital nasolacrimal duct obstruction. In principle, conservative treatment with massage is used within the first six months, while more aggressive surgical therapy is adopted after six months.

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