This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Nasolacrimal Disorders, Subject name: Ophthalmology
Initial maneuver done in congenital dacryocystitis: 
Select and explain. 
A. Probing, B. Massaging, C. Ointments, D. Observation
B: Massaging
Answer: B: Massaging 
Explanation: Congenital Acute Chronic Cause Non -Canalization Of NLD S.Aureus S.Aureus C/F Epiphora and Discharge Epiphora and Discharge Epiphora and Discharge Treatment <9 months=CRIGLER massage + antibiotic drops when needed (acute infections) 9 mon.- 4 years=probing >4 years= DCR Antibiotics + NSAIDS | DCR DCR Sequelae None Lacrimal fistula Rx:-DCR Mucocele-> pyocele-> fibrosis Rx:- DCT