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Purpose: To compare the success rate of lacrimal sac massage and lacrimal sac massage with topical antibiotic (Tobramycin) in congenital nasolacrimal duct obstruction (CNLDO) in infant. Method: 60 patients were taken, aged from 2 to 12 months diagnosed with CNDLO (from Sept. 2015 to Dec. 2016) were included and divided into 2 equal groups; Group 1 advised for lacrimal sac massage only and Group 2-advised for lacrimal sac massage with topical antibiotic. Patient was followed up at regular intervals upto three months. Successful outcome was documented as complete remission of symptoms in subsequent visits following the conservative therepies. Results: Overall success rate of Group 1 (advised for lacrimal massage without topical antibiotic) was 80% and Success rate of Group-2 (advised for lacrimal sac massage with topical antibiotic) was 90%. Conclusion:Lacrimal sac massage with topical antibiotic is more effective conservative treatment for CNDLO than lacrimal massage alone.

Comparision of Effect of Lacrimal Sac Massage And Lacrimal Sac Massgae with Topical Antibiotic in Congenital Nasolacrimal Duct Obstruction