Jamshed Nasir, Mueen Mohyuddin, Shahid A Bhatti.
Non massaging management of congenital and infantile naso lacrimal duct obstruction.
Pak J Ophthalmol Jan ;23(2):84-6.

Purpose: To evaluate non massaging management of congentical and infantile nasolacrimal duct obstruction. Material and Methods: Forty infants were divided in two groups. Group A followed the conventional procedure of massage of lacrimal sac, whereas group B had usual advisable management for the congential nasolacrimal obstruction except the massage of naso lacrimal sac. Both groups were followed for eight months. Results: After eight month followup nasolacrimal obstruction was resolved in 90% of patient in group A and in 95% in group B. 10% of patient in group A and 5% of patient in group B required probing of the nasolacrimal duct. Conclusion: Non massaging management of nasolacrimal obstruction is as effective as massaging of lacrimal sac but it also ovoids certain complications.

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