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Distention of the lacrimal sac in neonates
1Department of Ophthalmology, Strong Memorial Hospital, Rochester, NY.
Ophthalmic Surgery
|February 1, 1989
Insights
Neonatal lacrimal sac distention, including dacryocystocele and dacryocystitis, can be effectively treated. Treatment options like probing, digital pressure, and silicone tube intubation show successful outcomes in infants.
Area of Science:
- Ophthalmology
- Pediatrics
Background:
- Neonatal dacryocystocele is a congenital obstruction of the nasolacrimal system.
- It can lead to secondary infections such as dacryocystitis.
Observation:
- Seven cases of neonatal lacrimal sac distention were analyzed.
- Conditions observed included sterile dacryocystocele, subacute dacryocystitis, and acute dacryocystitis.
Findings:
- Three patients achieved resolution of symptoms through probing.
- One patient was successfully treated with digital pressure decompression.
- Two patients responded well to silicone tube intubation.
Implications:
- Early diagnosis and intervention are crucial for managing neonatal dacryocystocele and its complications.
- A range of treatment modalities can effectively resolve these conditions in neonates.
- This study highlights the efficacy of conservative and minimally invasive treatments for neonatal nasolacrimal duct obstruction.
Abstract:
We present seven cases of neonatal lacrimal sac distention, ranging from sterile dacryocystocele, subacute dacryocystitis, and acute dacryocystitis. Three patients were cured by probing, one by digital pressure decompression, and two by silicone tube intubation.