Technique for nasolacrimal duct (NLD) massage in infants and children with congenital NLD obstruction (dacryostenosis)

(A) The index finger is placed over the superior aspect of the nasolacrimal sac and moderate pressure is applied downward.

(B) Downward pressure causes rupture of the membranous obstruction at the bottom of the nasolacrimal duct.

Graphic 101426 Version 2.0