Watery Eye in Neonates Management
Watery eye (epiphora) in neonates is commonly caused by congenital nasolacrimal duct obstruction (CNLDO), affecting approximately 5-20% of newborns. It results from failure of canalization of the nasolacrimal duct, leading to persistent tearing and possible secondary infections.
Clinical Presentation:
– Continuous or intermittent tearing from birth.
– Mucopurulent discharge, especially after sleep.
– Eyelid crusting or conjunctival irritation.
– Absence of conjunctival redness unless infected.
Diagnosis:
– Detailed history and physical examination.
– Fluorescein dye disappearance test (FDDT) to assess tear drainage.
– Probing and irrigation (if required in persistent cases).