Congenital dacryocele. A collaborative review.
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.
Mansour
A M
AM
Department of Ophthalmology, University of Texas Medical Branch, Galveston 77550.
Cheng
K P
KP
Mumma
J V
JV
Stager
D R
DR
Harris
G J
GJ
Patrinely
J R
JR
Lavery
M A
MA
Wang
F M
FM
Steinkuller
P G
PG
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