RT Book, Section
A1 Marcotty, Andreas
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114869561
T1 Neonatal Nasolacrimal Duct Obstruction
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114869561
RD 2024/04/19
AB A  6-month-old  child  is  brought  to  the  pediatrician  with  a  history  of  tearing,  drainage,  crusting  of  the  eyelashes  and  lids,  perhaps  of  both  eyes  and  most  notably  upon  awakening.  The  tearing  occurs  without  distress  and  is  worse  with  outside  air  exposure,  especially  if  it  is  cold  and  windy.  There  is  no  associated  fever  or  discomfort.  Despite  the  increase  in  tearing,  there  is  no  light  sensitivity.1  Most  notable  is  the  chronically  increased  tear  film  meniscus  (Figure  14-1).  The  baby  has  a  chronic  problem  since  shortly  after  birth  with  constant  tearing,  mucoid  debris  and  a  couple  of  episodes  of  increased  debris,  suggestive  of  conjunctivitis.