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Congenital dacryocystocele
Archives of Ophthalmology (Chicago, Ill. : 1960)
|November 1, 1982
Summary
Congenital lacrimal sac distention often resolves without intervention. Surgical management is reserved for complicated cases involving infection or significant anatomical distortion.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Anatomy
Background:
- Congenital lacrimal sac distention, also known as dacryocystocele, is a rare condition.
- Understanding its natural history is crucial for effective management.
- Previous terminology like amniotocele or mucocele may lack specificity.
Observation:
- Four cases of congenital lacrimal sac distention were managed.
- Initial management was conservative to observe the natural course.
- Detailed clinical data including infection, visual acuity, and anatomical changes were recorded.
Findings:
- Three out of four cases resolved spontaneously without nasolacrimal duct probing.
- One case developed dacryocystitis (Serratia marcescens), corneal astigmatism, and canthal distortion, necessitating surgical intervention.
- Dacryocystocele is proposed as a more precise term for this condition.
Implications:
- Conservative management is often successful for congenital lacrimal sac distention.
- Factors such as infection, visual impairment (astigmatism, anisometropia), and severe canthal distortion should guide treatment decisions.
- The term dacryocystocele accurately describes lacrimal sac distention regardless of fluid origin.