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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
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Presentation and management of congenital dacryocystocele

Rupa Krishnamurthy Wong1, Deborah K VanderVeen

  • 1Department of Ophthalmology, Children's Hospital Boston, Boston, Massachusetts 02115, USA. rupa.krishnamurthy@childrens.harvard.edu

Pediatrics
|October 29, 2008
PubMed

Insights

Congenital dacryocystocele in infants often requires intervention. Early referral and treatment are crucial to prevent complications like infection and respiratory compromise.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Congenital dacryocystocele is a common condition in newborns.
  • It presents as a cyst-like swelling at the lower eyelid due to nasolacrimal duct obstruction.

Purpose of the Study:

  • To describe the clinical presentation, complications, and treatment outcomes for congenital dacryocystocele.
  • To evaluate the effectiveness of various treatment strategies.

Main Methods:

  • Retrospective chart review of infants with congenital dacryocystocele.
  • Data collected from Children's Hospital Boston between 1997 and 2006.
  • Included patient demographics, presenting symptoms, complications, and treatments.

Main Results:

  • 42 infants (46 eyes) were identified, presenting at a median age of 7 days.
  • 65% of patients had dacryocystitis requiring antibiotics; 9.5% experienced respiratory compromise.
  • Conservative treatment resolved 10 eyes; 78% required surgery, with office probing successful in 76% of cases.

Conclusions:

  • Congenital dacryocystocele frequently necessitates surgical intervention despite potential for conservative resolution.
  • Infection and respiratory compromise are significant complications.
  • Early neonatal referral is recommended for timely management and prevention of complications.
Abstract

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