Is it necessary to hospitalize for pediatric lacrimal duct obstruction?

Patient's question:

I went to an ophthalmologist who recommended hospitalization for probing. I requested to have a flush instead, but he said it wouldn't be effective. After I insisted, it still didn't open up, and only a small amount of purulent secretions were flushed out.

Doctor's answer:

Parents should apply the massage daily on the side of the child's nose bridge at the inner corner of the eye (medically known as the medial canthus) for the newborn lacrimal duct obstruction massage: The massage should be performed in an upward-to-downward sequence with moderate pressure on the lacrimal sac area. When massaging, the fingers should not slide or rub on the skin but should use the thumb to press firmly against the skin, applying force to the lacrimal sac area beneath the skin, allowing it to slide and massage from top to bottom.

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