The treatment of lacrimal duct obstruction in infants is massage until the age of one and the application of antibiotic drops from time to time if there is an infection, where proper massage is of great importance.
Because babies who are properly massaged have a 90% chance of opening the canal.
Massage is based on the principle of pressing the area of the tear sac between the eye and the root of the nose, pushing the liquid in the sac to the lower end of the canal, and thus opening the membrane-shaped blockage at the bottom of the canal.
A hydrostatic pressure is created by pushing the liquid accumulated in the sac to the lower end of the channel.
In cases where the duct is not opened until the age of one year, the treatment is the surgical application of lacrimal duct obstruction, which we call probing. In this process, it is the process of opening the channel with a metal rod that is advanced through the channel to the lower end of the channel.
The success of the procedure is around 90%, the application of the procedure under the tear duct by controlling it with an endoscopic imaging system increases the chance of surgical success.
In unsuccessful cases, the procedure is performed again after 6 weeks. If the result is unsuccessful, the silicone tube is inserted into the canal. The success of these applications in children decreases with age.
Therefore, if the canal is not opened with massage, waiting for the patient to open the canal after one year of age may reduce the success of the surgical applications to be applied later.