What is the recommended management for a neonate diagnosed with nasolacrimal duct obstruction?

The recommended management for a neonate diagnosed with nasolacrimal duct obstruction is the massage of the nasolacrimal ducts. This condition is relatively common and often resolves spontaneously within the first year of life, as the duct usually opens on its own.

The technique involves gently massaging the duct to promote drainage of tears and help clear any blockage. This is typically recommended because it is a non-invasive approach and can be effective in alleviating the obstruction without the need for surgical intervention or medications.

Surgical intervention is usually considered only in cases where medical management fails or if the condition persists beyond the first year, which is not the case for most neonates. Antibiotics are not indicated for this condition unless there is a secondary infection, as nasolacrimal duct obstruction itself is not an infectious condition. Topical lubricants may provide symptomatic relief for dry eyes but do not address the underlying obstruction of the duct.

Overall, massage is the primary and recommended management strategy, particularly in the early stages of the condition.