Multiple studies support Crigler massage as first-line therapy for congenital NLDO. A landmark 2014 randomized controlled trial (the study) found that 44% of infants treated with massage alone (plus topical antibiotics if mucopurulent discharge) resolved spontaneously by 6 months of age, compared to 57% in a “watchful waiting” group. Notably, massage did not significantly outperform observation—suggesting that spontaneous resolution (which occurs in 80–95% of congenital cases by 12 months) is the dominant factor.
Emma's six-month-old daughter, Olivia, had been experiencing issues with her tear duct. Olivia's eye would get red, swollen, and watery, and Emma noticed that she wasn't producing tears properly. After consulting with their pediatrician, Emma learned that Olivia had a blocked tear duct. massage for blocked tear duct