Identify the medial canthus. The lacrimal sac is palpated as a small, firm nodule just medial to the inner canthal tendon.
Perform hand hygiene. Trim fingernails. Position the infant supine or held securely by a parent. lacrimal duct massage
If mucopurulent discharge is expressed, gentle cleaning with warm water or saline on a gauze pad should follow massage. 5. Clinical Evidence and Efficacy 5.1 Spontaneous Resolution Rates Multiple observational studies demonstrate that over 80% of congenital NLDO resolves by 12 months of age. The role of massage specifically—versus observation alone—has been debated. Identify the medial canthus
A landmark RCT by Kushner (1982) and a later meta-analysis by Petris and Liu (2017) found that . Trim fingernails
Lacrimal Duct Massage: Techniques, Indications, and Evidence in the Management of Nasolacrimal Duct Obstruction