This protocol applies to infants under 12 months of age who present with dacryocystitis in the context of congenital nasolacrimal duct obstruction. Given the patient's age, this specific presentation carries important management considerations distinct from older children and adults.
When clinical signs are suggestive of congenital nasolacrimal duct obstruction in a patient under 12 months of age, the patient's young age is central to the treatment decision. Conservative management is typically the initial approach, as spontaneous resolution occurs in the large majority of these cases.
In selected cases, a surgical intervention involving the nasolacrimal system may be indicated — particularly when specific complications arise.
If clinical signs are suggestive of congenital nasolacrimal duct obstruction, being the patient less than 12 months of age, conservative treatment is recommended, as more than 90% of these patients experience spontaneous resolution.
Early surgery (nasolacrimal intubation) should be indicated if the patient associates a dacryocele or episodes of acute dacryocystitis.