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Infant presents with tearing, discharge from both eyes
A 4-month-old previously healthy full-term infant presented to her pediatrician with tearing and discharge from both eyes. The mother noted this had been present since birth and did not note any associated symptoms. On exam, the pediatrician noted normal development and bilateral tearing. The infant was diagnosed with nasolacrimal duct obstruction. Warm compresses and nasolacrimal massage were recommended.The patient was sent home; however, a week later she returned to the emergency department with right eye injection and mild edema around the right eye. She was playful on exam and had (Read more...)