Initial treatment of congenital dacryocystitis –
**Core Concept**
The underlying principle being tested is the management of congenital dacryocystitis, which involves obstruction of the nasolacrimal duct. This condition is common in newborns due to a membranous obstruction at the lower end of the nasolacrimal duct.
**Why the Correct Answer is Right**
The initial treatment typically involves conservative management to relieve the obstruction, including lacrimal sac massage and topical antibiotics if there's an associated infection.
**Why Each Wrong Option is Incorrect**
**Option A:** Incorrect as it's not the first line of treatment.
**Option B:** Not typically the initial approach.
**Option C:** Usually not the first step.
**Option D:** Incorrect as it is not specified.
**Clinical Pearl / High-Yield Fact**
A key point to remember is that most cases of congenital dacryocystitis resolve spontaneously with conservative management.
**Correct Answer:** D. Lacrimal sac massage