TY - CHAP M1 - Book, Section TI - Neonatal Nasolacrimal Duct Obstruction 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 PY - 2015 T2 - The Color Atlas of Pediatrics 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114869561 ER -