Congenital chronic dacryocystitis may resolve with lacrimal sac massage, warm Surgical success rates in the treatment of dacryocystitis are. Five children were diagnosed with congenital dacryocystocele; in all cases, the Keywords: Nasolacrimal duct, Dacryocystocele, Dacryocystitis, Nasolacrimal. Congenital dacryocystitis occurs in roughly 1 in live births. In adults, whites tend to be more affected. Females make up nearly 75% of all.

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Once diagnosis has been made, medical treatment is started and after days, if the child has not improved, probing is performed. Here are some long-term remedies to keep them from coming back. Complicated cases, particularly those with fever or acute visual changes, should be admitted with ophthalmology consultation.

Congenital dacryocystocele: diagnosis and treatment

Primary care doctors are usually the first medical providers to treat nasolacrimal dacrryocystitis obstruction. Five patients diagnosed with dacryocystocele between January and October were included in this retrospective study.

A careful external eye exam must be performed. This surgery bypasses the blocked duct, usually by removing a nearby bone.

Marcet, MD Assigned editor: Proximal lacrimal outflow blockage or dysgenesis tends to present with an increased tear lake and epiphora without mattering. Taylor 1 ; John V.

Treatment of acute dacryocystitis includes conservative measures such as warm compresses and attempts of Crigler massage. Original article contributed by: The flow of tears will sacryocystitis begin with tear production by the lacrimal gland. For recurrent infections, referral to ophthalmology for surgical evaluation is advised. When the amniotic fluid fails to be expressed from the nasolacrimal system, it becomes purulent within a few days of delivery and becomes congnital.


Subtraction DCG technique will potentially help improve the viewing quality of the image.


It is our practice to use an imaging technique if the clinical and US diagnosis are not conclusive. The diameter of the cyst under US ranged from 9. Congenital dacryocystocele with intranasal extension. MRI of childhood dacryocystocele.

There is a bimodal distribution with most cases either occurring just after birth in congenital cases or in adults older than 40 years of age. The condition that predisposes to this postnatal infection, however, is congenital in the sense that there has been a delay in Nature’s process of canalization of the lacrimal passageways. Disposition from acute care settings are dependent on the extent of infection, comorbidities, and access to prompt ophthalmological follow up.

The differential diagnosis includes haemangioma, encephalocele, glioma, dermoid cysts and malignant processes 1 2 4 5. Nasolacrimal duct obstruction is a blockage of the lacrimal drainage system. Colour atlas of lacrimal surgery. Dacryocystocele is thought to result from the obstruction of two sites in the nasolacrimal system: Empiric antibiotics should include gram positive and gram negative coverage. Afterward, hold the warm compress to your eye again.

There may also be an increase in tears; in chronic dacryocystitis, tearing may be the only symptom. Endoscopic marsupialization of congenital duct cyst with dacryocoele. Differentiation with non-inflamed dacryocystocele can be difficult because it characteristically appears at, or shortly after, birth as a pulsating swelling at the medial canthus: Sarcoidosis, lymphoma, and papilloma are among dacryochstitis common findings.



Congenital dacryocystocele: diagnosis and treatment

Right congenital dacryocystocele in neonate of 30 days P. Follow-up lasted at least 6 months rangemean Tear films will typically cause conjunctival injection and a mild decrease in visual acuity. Coverage should be aimed at gram-positive organisms, particularly antistaphylococcal agents.

J Med Assoc Thai. Possible causes of this blockage include:.


One patient had no recurrence of the dacryocystocele but 4 showed no improvement with medical treatment; they were submitted to successful probing in the first months of life under general anaesthesia. Visual acuity testing is vital. Office probing of congenital nasolacrimal duct obstruction. Every time you blink, the tears spread across your eyes.

Crigler massage should be taught to parents or caregivers to perform at home. Stagnation of tears will provide a favorable environment for infectious organisms to propagate and proteinaceous debris to form.

Here’s what you should know. The disappearance of dye from the tear film after 5 minutes is observed. An associated preseptal cellulitis is rare. An infection that starts suddenly is called acute dacryocystitis.

B-scan of same patient P. During probing a gritty feeling can be felt along a stenotic duct and if there is a distal membrane, a distinct “pop” can be felt as the membrane is breached. Serious morbidity and mortality are low with dacryocystitis.