title: Congenital dacryocele. A collaborative review.
abstract: Fifty-four cases of congenital dacryocele from several medical centers were reviewed retrospectively. There was strong female preponderance (73%) and unilateral involvement (88%). Lacrimal sac contents could be expressed by local massage through the puncta in 21% of cases. Probing and irrigation were done under general (27.8%) or local (55.6%) anesthesia, while in other cases (16.7%), the cyst resolved before intervention. Recurrence of the dacryocele occurred in 10 patients (22%) after probing. Nasal cysts were visualized in six cases. Marsupialization of nasal cysts was necessary in four cases. In one center, after conservative therapy, 80% of cysts resolved spontaneously and 20% developed dacryocystitis. Surgical intervention is indicated in cases of dacryocystitis, cellulitis, breathing difficulty from large nasal cysts, recurrent dacryocele, and lack of its resolution after a short trial of digital massage.
authors.affiliation: Department of Ophthalmology, University of Texas Medical Branch, Galveston 77550.
authors.forename: A M
authors.initials: AM
authors.lastname: Mansour
authors.forename: K P
authors.initials: KP
authors.lastname: Cheng
authors.forename: J V
authors.initials: JV
authors.lastname: Mumma
authors.forename: D R
authors.initials: DR
authors.lastname: Stager
authors.forename: G J
authors.initials: GJ
authors.lastname: Harris
authors.forename: J R
authors.initials: JR
authors.lastname: Patrinely
authors.forename: M A
authors.initials: MA
authors.lastname: Lavery
authors.forename: F M
authors.initials: FM
authors.lastname: Wang
authors.forename: P G
authors.initials: PG
authors.lastname: Steinkuller
mesh_terms: D002675:Child, Preschool; D003608:Dacryocystorhinostomy; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007766:Lacrimal Apparatus Diseases / Q000151:congenital* / Q000175:diagnosis; D008297:Male; D009078:Mucocele / Q000151:congenital* / Q000175:diagnosis; D009301:Nasolacrimal Duct / Q000473:pathology; D012008:Recurrence; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed