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Updated: Aug 20, 2025

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

Published on: October 13, 2017

Epstein-Barr virus-related dacryocystitis: a case report.

J Sternberg¹, S Lambiel², H Cao Van²

¹Department of Pediatrics, Geneva University Hospital, Geneva, Switzerland. julie_sternberg6@hotmail.com.

Journal of Medical Case Reports

|November 19, 2022

Summary

Acute dacryocystitis, a rare Epstein-Barr virus manifestation in children, is often underdiagnosed. Conservative management, including massage and antibiotics, offers an excellent prognosis, avoiding unnecessary surgery.

Keywords:

Case report Dacryocystitis Epstein–Barr virus Pediatrics

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Last Updated: Aug 20, 2025

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

Published on: October 13, 2017

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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

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Published on: September 20, 2018

Area of Science:

Ophthalmology
Pediatrics
Infectious Diseases

Background:

Acute dacryocystitis is an uncommon complication of pediatric mononucleosis.
This condition is frequently underdiagnosed due to nonspecific initial symptoms.

Observation:

A 6-year-old girl presented with preseptal cellulitis, later developing a nasolacrimal region lump.
Serology confirmed acute mononucleosis and Epstein-Barr virus-related dacryocystitis.
Absence of spontaneous purulent discharge was noted.

Findings:

Epstein-Barr virus (EBV) can cause acute dacryocystitis in children without prior ophthalmic history.
Diagnosis can be challenging due to nonspecific symptoms like rhinitis, fever, and eyelid edema.
Conservative treatment, including digital lacrimal sac massage and antibiotics, yielded excellent outcomes.

Implications:

Differentiating dacryocystitis from abscess is critical for appropriate treatment selection.
Conservative management is the preferred approach for EBV-related dacryocystitis, minimizing the need for surgery.
Increased awareness of this rare manifestation can improve pediatric patient outcomes.