Lacrimal duct massage, specifically the Crigler technique, is an evidence-based, first-line conservative treatment for congenital nasolacrimal duct obstruction. It facilitates spontaneous rupture of Hasner’s valve, reduces epiphora and discharge, and decreases the need for surgical probing. Success depends on accurate technique, adequate frequency, and proper caregiver training. Ophthalmologists, pediatricians, and family medicine providers should be proficient in teaching this maneuver and recognizing indications for escalation of care.
Massage is highly effective for infants. Approximately 95% to 99% of blocked ducts in children resolve on their own or with the help of regular massage by the time they reach 12 months of age. You may notice mucus or tears draining during the massage, which is often a positive sign that the blockage is being cleared. Safety and Precautions lacrimal duct massage