Congenital chronic dacryocystitis may resolve with lacrimal sac massage, warm Surgical success rates in the treatment of dacryocystitis are. Five children were diagnosed with congenital dacryocystocele; in all cases, the Keywords: Nasolacrimal duct, Dacryocystocele, Dacryocystitis, Nasolacrimal. Congenital dacryocystitis occurs in roughly 1 in live births. In adults, whites tend to be more affected. Females make up nearly 75% of all.

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Epidemiology There is a bimodal distribution with most cases either occurring just after birth in congenital cases or in adults older than 40 years of age.

The dacryocystocele may extend intra-nasally forming a nasal cyst located in the inferior meatus. Sign in to download free article PDFs Sign in to access congental subscriptions Sign in to your personal account. Crigler massage should be taught to parents or caregivers to perform at home. Long term follow up of nasolacrimal intubation in adults. The success of simple probing declines slightly with the increasing age of the child.

National Center for Biotechnology InformationU. StatPearls Publishing; Jan. Endoscopic dacryocystorhinostomy is generally reserved for intubation and balloon dacryoplasty failures.

In general, the prognosis for dacryocystitis is good. The condition becomes more common as you age.

Nasolacrimal Duct Obstruction, Congenital – EyeWiki

History and Physical In acute cases, symptoms may occur over several hours to several days. Discussion The excretory lacrimal system is first observed in embryos at the 5 th week of development and, by the 10 th week, formation of a lumen in the lacrimal cord has taken place, dacryocysyitis with cavitation of the inferior meatal lamina 9.

Bilateral nasal endoscopy is essential during the work up of all children: Sign in to save your search Sign in to your personal account. Proximal lacrimal outflow blockage or dysgenesis tends to present with an increased tear lake and epiphora without mattering. Treatment of congenital lacrimal duct obstruction consists of initial dacryocysttis for resolution followed by probing of children with persistent duct obstruction.


Nasolacrimal Duct Obstruction, Congenital

During probing a gritty feeling can be felt along a stenotic duct and if there is a distal membrane, a distinct “pop” can be felt as the membrane is breached. Purchase access Subscribe to JN Learning for one year. Review The human nasolacrimal ducts.

Introduction Dacryocystitis is characterized as an inflammatory state of the nasolacrimal sac. Surgical follow up after probing can be by office visit or phone contact. Empiric antibiotics should include gram positive and gram negative coverage.

Five children were diagnosed with congenital dacryocystocele; in all cases, dscryocystitis cystic lesion was unilateral; age ranged from 7 to 60 days mean 29 dacrykcystitis. A careful external eye exam must be performed. There can be obstructions at any level of the nasolacrimal system. There are several conditions that can cause you to feel pressure behind your eye. In some patients, there is the co-existence of a functional proximal obstruction and a partial distal obstruction caused by redundant membrane tissue of the Hasner valve, which interferes with, but does not completely obstruct, lacrimal outflow If there are anatomical concerns, a plain-film dacryocystogram DCG can be performed by qualified personnel.

To relieve pain and swelling from the infection, hold warm compresses to your eye a few times per day. Eur J Ophthalmol ; Adv Anat Embryol Cell Biol. Introduction Congenital dacryocystocele is an uncommon consequence of congenital nasolacrimal duct obstruction: If conservative measures happen to fail, congental referral is then made to ophthalmology for nasolacrimal probing.

Others tout dacryocystutis small but significant risk of aspiration during the in-office procedure and state that, since in-office probing is generally performed in children less than 12 months of age, children who would resolve spontaneously are treated unnecessarily. Nigrisoli 2, Bologna, Italy, Fax: The balloon is inflated according to the manufacturer’s specifications and withdrawn. Congenital dacryocystocele is an uncommon consequence of congenital nasolacrimal duct obstruction: Pathophysiology Dacryocystitis, regardless of etiology, is almost always caused by an obstruction in the nasolacrimal system with the resultant stagnation of tears.


The age of the infant at referral depends on the congenitl of the primary care physician and also on his knowledge of the surgical practice of the ophthalmologist in regard to nasolacrimal duct probing. The lacrimal sac will then inflame causing the characteristic dacryocysitis in the inferomedial portion of the orbit.

Congenital dacryocystocele associated with intranasal cysts: The cyst can be drained rapidly by massage as observed in patient L. Topical antibiotics can be considered for acute flares. Any acute changes not explained by tear filming should raise concern for extensive involvement.

If this fails to occur, a membranous barrier frequently forms at the Hasner valve: A rare entity and approach to management. Create a free personal account to dacryocystitiss a comment, download free article PDFs, sign up for alerts and more.

This page was last modified on October 2,at Ultrasound US is a simple and non-invasive method that can be used without sedation to reliably distinguish dacryocystoceles from other pathological conditions.


The surgery may be done endoscopically through very small incisions. Pakdel F, Bahmani Kashkouli M. Privacy Policy Terms of Use.

Tear films will typically cause conjunctival injection and a mild decrease in visual acuity. When an intra-nasal cyst was identified, marsupialization with endoscopic excision of the medial wall was performed Fig.