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Related Experiment Videos

Congenital dacryocele. A collaborative review.

A M Mansour1, K P Cheng, J V Mumma

  • 1Department of Ophthalmology, University of Texas Medical Branch, Galveston 77550.

Ophthalmology
|November 1, 1991
PubMed
Summary

Congenital dacryocele predominantly affects females and is unilateral. While massage and probing are common interventions, surgical treatment is reserved for complicated cases like dacryocystitis or breathing difficulties.

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Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Congenital dacryocele is a rare condition caused by obstruction of the nasolacrimal system.
  • Early diagnosis and management are crucial for preventing complications.

Observation:

  • A retrospective review of 54 congenital dacryocele cases revealed a strong female preponderance (73%) and predominantly unilateral involvement (88%).
  • Local massage successfully expressed lacrimal sac contents in 21% of cases.
  • Probing and irrigation, performed under local or general anesthesia, were common interventions, with spontaneous resolution occurring in 16.7% of cases.

Findings:

  • Recurrence of dacryocele after probing was observed in 22% of patients.
  • Nasal cysts were visualized in six cases, necessitating marsupialization in four.

Related Experiment Videos

  • Conservative therapy led to spontaneous resolution in 80% of cases at one center, while 20% developed dacryocystitis.

    • Implications:

    • Surgical intervention is indicated for dacryocystitis, cellulitis, significant nasal cysts causing breathing difficulty, recurrent dacryocele, or failure of conservative management.
    • This study highlights the varied treatment approaches and outcomes for congenital dacryocele.