Massaging Blocked Tear Duct

Nasolacrimal duct obstruction (NLDO) is a common condition in infancy, resulting in excessive tearing (epiphora) and discharge. While often self-limiting, the condition can lead to infections such as dacryocystitis. The first line of conservative management is lacrimal sac massage, commonly known as Crigler massage. This paper outlines the pathophysiology of NLDO, the indications for massage, the specific techniques involved, and the expected outcomes.

Massage is rarely effective as a standalone treatment if significant discharge is present. massaging blocked tear duct

Massaging a —also known as the Crigler massage—is a common and effective technique used to encourage drainage and help open the nasolacrimal duct. This condition occurs when the drainage system for tears is obstructed, often by a thin membrane that failed to open at birth, causing excessive watering, sticky discharge, and crusting. While most cases in infants resolve on their own by age one, regular massage creates hydrostatic pressure that can physically pop open the blockage. How to Perform a Tear Duct Massage Nasolacrimal duct obstruction (NLDO) is a common condition