This protocol applies when nasolacrimal duct obstruction manifests as a dacryocystocele: a visible blue mass in the skin overlying the lacrimal sac, in the specific setting where the lesion is neither infected nor causing respiratory problems.
Dacryocystoceles arise from distention of the lacrimal sac, producing a characteristically visible blue mass at the medial canthal region. When this presentation is uncomplicated — with no signs of infection and no respiratory compromise — it defines a distinct management pathway.
In this uncomplicated presentation, the initial strategy is conservative. It draws on topical and manual techniques applied to the lesion — the full structured protocol specifies the interventions, their sequence, and the criteria for escalation.
Resolution of the dacryocystocele lesion.