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Updated: Jul 20, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Evaluation and management of congenital nasolacrimal duct obstruction
Mitesh K Kapadia1, Suzanne K Freitag, John J Woog
1Department of Ophthalmology, Boston Medical Center, 720 Harrison Avenue Boston, MA 02118, USA.
Insights
Congenital nasolacrimal obstruction causes infant tearing and potential infections. Its exact incidence in newborns is debated, with estimates varying widely across studies.
Area of Science:
- Ophthalmology
- Pediatrics
Background:
- Congenital nasolacrimal obstruction is a frequent infant condition causing persistent tearing.
- It can lead to secondary infections like dacryocystitis and orbital cellulitis.
Purpose of the Study:
- To review the causes and treatment of congenital nasolacrimal obstruction.
- To discuss the controversial incidence rates in newborns.
Main Methods:
- Literature review of studies on congenital nasolacrimal obstruction.
- Analysis of diagnostic criteria and reported incidence rates.
Main Results:
- The incidence of congenital nasolacrimal obstruction varies significantly, with estimates ranging from 1.2% to 30%.
- A commonly cited figure of 6% originates from a 1940s study with specific diagnostic methods.
- Higher incidence is observed in infants with craniofacial disorders and Down's syndrome.
Conclusions:
- The true incidence of congenital nasolacrimal obstruction in healthy newborns requires further clarification due to varying diagnostic approaches.
- Understanding the causes and treatment options is crucial for managing this condition.
Abstract:
Congenital nasolacrimal obstruction is a common disorder in infants that results in persistent tearing and may lead to infections, such as dacryocystitis, orbital cellulitis, and bacterial conjunctivitis. The true incidence of this disorder in healthy newborns remains controversial. The most frequently quoted number of 6% comes from a study of 200 consecutive live births in the 1940s in which nasolacrimal patency was assessed by the presence or absence of discharge on compression of the lacrimal sac. Estimates from other studies, which often use different criteria for diagnosis, vary considerably from 1.2% to 30%. The incidence of the disorder is higher in children who have craniofacial disorders and Down's syndrome. This article reviews the causes and treatment of congenital nasolacrimal obstruction.
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