Nasolacrimal Duct Obstruction
Nasolacrimal duct obstruction is a relatively common congenital abnormality in the neonatal population with a reported incidence ranging from 6 to 20%. Unlike infectious conjunctivitis, nasolacrimal duct obstruction has no conjunctival injection but does have signs of matting and discharge in an otherwise healthy appearing infant.
Reference:
Vagge, A., Ferro Desideri, L., Nucci, P., Serafino, M., Giannaccare, G., Lembo, A., & Traverso, C. E. (2018). Congenital nasolacrimal duct obstruction (CNLDO): a review. Diseases, 6(4), 96.
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.