There is no such thing as the best solution for tear duct obstruction. Different approaches are needed depending on where and why the tear duct obstruction occurs. Massage, dilators or probes are often used to unblock it. Congenital tear duct defects can lead to obstruction of the tear ducts and produce tear spillage, which can be treated with tear duct plication. Tear duct obstruction in infants and young children can first be treated conservatively, usually through massage techniques to open the tear duct. If a series of conservative treatments, such as massage, are ineffective, then surgical methods, such as tear duct exploratory surgery, are considered. If examination reveals narrowing of the tear ducts, tear duct dilators or probes can also be used to dilate the tear duct nodes. If nasolacrimal duct stenosis is found, tear duct probing with placement of tubes can be performed, and if the nasolacrimal duct is obstructed, endoscopic surgery is needed to perform a lacrimal sac nasolacrimal anastomosis. In addition, when the tear duct is obstructed, it can usually be combined with an infection, resulting in dacryocystitis and conjunctivitis. This can be treated with topical antibiotic eye drops (e.g. tobramycin eye drops, ofloxacin eye drops). When symptoms such as frequent tearing and tear overflow occur, it suggests that there may be narrowing or blockage of the tear ducts, and you should consult your doctor in time, and use medication and treatment under the doctor’s guidance.