Question
A six-day-old baby, upon waking up in the afternoon, found that there was a large amount of yellow eye discharge, and the whites of the eyes and the face appeared slightly yellow. However, there was no obvious jaundice on the body. Stool was normal and yellow, and urine color was normal.
Answer
Based on the described situation, it may be newborn dacryocystitis. This is caused by incomplete regression of the embryonic membrane at the lower end of the nasolacrimal duct, leading to accumulation of tears and bacteria in the lacrimal sac, causing secondary infection. Treatment methods include using Tobramycin eye drops, four times a day, gently pushing the inner corner of the eye before use, ensuring clean hands, and trimming nails. When performing the massage, have the child lie flat, with another adult holding the head and limbs steady. The operator should gently push from the root of the nose to the lacrimal sac area along the wing of the nose. The pressure should be even, with appropriate force but not too forceful to avoid skin injury. For some children, such treatment may be effective. If there is no improvement, it may be necessary to go to an ophthalmologist for lacrimal duct cleaning or probing surgery.