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The symptoms of congenital lacrimal duct obstruction develop in 6-20% of infants during their first month of life. The parents may observe watering and discharge from the eye.
Spontaneous resolution occurs in the vast majority of cases. Without treatment, less than 1% of infants will still be affected by their first birthday. Consider the differential diagnosis of congenital lacrimal duct obstruction e.g. any lash or lid abnormality.
The use of antibiotics should be minimised. Hospital referral is indicated if symptoms are still present at 12 months.
BMJ (1997), 315, 293-6.
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