To Study the Role of Conservative Management and to Evaluate Effectiveness of Syringing and Probing in Children with Congenital Nasolacrimal Duct Obstruction in a Tertiary Care Institution of Kashmir

The study aimed to find the role of conservative management and to evaluate effectiveness of syringing and probing in children with congenital nasolacrimal duct obstruction in a tertiary care institution of Kashmir. The prospective study was carried on 150 cases of congenital nasolacrimal duct obstruction to rationalize its treatment by observing the response to Criggler’s massage in infants and by syringing and probing in children above 1 year of age. It was observed that the success rate of conservative management in infants is 78.16%. The success rates of syringing and probing is observed to decrease with increasing age of patient with highest success rate was in the age group of 13-18 months. Criggler’s massage is highly successful during first year of life therefore the infants presenting with congenital NLDO should be managed conservatively and observed. In children presenting after 1 year of age Probing is highly successful procedure when done early after 1 year of life.