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Dacryocystitis associated with nasolacrimal duct cyst
1Department of Ophthalmology, College of Medicine, Chungbuk National University, Korea.
Korean Journal of Ophthalmology : KJO
|December 1, 1995
Summary
Persistent tearing in infants after lacrimal probing may indicate a cystic obstruction. Nasal examination and endoscopic marsupialization can identify and treat these rare causes of lacrimal drainage system blockage.
Area of Science:
- Ophthalmology
- Pediatric Otolaryngology
Background:
- Congenital nasolacrimal duct obstruction (CNLDO) is common in infants.
- Surgical probing is a standard treatment for persistent epiphora.
- Recurrent or treatment-resistant cases warrant further investigation.
Observation:
- An infant experienced persistent epiphora despite successful lacrimal system probing.
- Nasal examination revealed a cystic structure obstructing the lower lacrimal drainage system.
- This finding suggests a less common cause of nasolacrimal duct obstruction.
Findings:
- A cystic lesion was identified as the cause of recurrent lacrimal drainage obstruction.
- Endoscopic marsupialization was considered as a potential treatment.
- This highlights the importance of thorough nasal examination in refractory cases.
Implications:
- Clinicians should consider nasal endoscopy for persistent epiphora post-probing.
- Endoscopic marsupialization may be an effective treatment for cystic obstructions.
- This approach can improve outcomes for infants with complex lacrimal drainage issues.