Faculty Collaboration Database

Congenital dacryocele. A collaborative review. Ophthalmology 1991 Nov;98(11):1744-51

Date

11/01/1991

Pubmed ID

1800937

DOI

10.1016/s0161-6420(91)32063-3

Scopus ID

2-s2.0-0025945952 (requires institutional sign-in at Scopus site)   130 Citations

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.

Author List

Mansour AM, Cheng KP, Mumma JV, Stager DR, Harris GJ, Patrinely JR, Lavery MA, Wang FM, Steinkuller PG

Author

Gerald J. Harris MD Professor in the Ophthalmology and Visual Sciences department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Child, Preschool
Dacryocystorhinostomy
Female
Humans
Infant, Newborn
Lacrimal Apparatus Diseases
Male
Mucocele
Nasolacrimal Duct
Recurrence
Retrospective Studies
Tomography, X-Ray Computed