Prevalence and clinical characteristics of congenital dacryocystocele. J AAPOS 2010 Oct;14(5):417-20
Date
11/03/2010Pubmed ID
21035068Pubmed Central ID
PMC3115742DOI
10.1016/j.jaapos.2010.07.006Scopus ID
2-s2.0-78049375341 (requires institutional sign-in at Scopus site) 56 CitationsAbstract
OBJECTIVE: To report the prevalence, clinical findings, and outcomes in children diagnosed with congenital dacryocystocele in a well-defined population during a 20-year period.
METHODS: The medical records of all Olmsted County, Minnesota, patients diagnosed with congenital dacryocystocele from January 1, 1988, through December 31, 2007, were retrospectively reviewed.
RESULTS: A total of 9 children were diagnosed with dacryocystocele during the 20-year period, yielding a birth prevalence of 1 in 3,884 live births. The median age at diagnosis was 12 days (range, birth to 40 days); 7 (78%) were female. Eight patients (89%) had unilateral disease. Clinical findings included a cystic mass in all 9, dacryocystitis in 3 (33%), intranasal cysts in 3 (33%), and 1 (11%) each with facial cellulitis and dacryocystocele-induced astigmatism. Conservative treatment resolved the obstruction in 3 (33%), whereas the remaining 6 (67%) each underwent one surgery. Complete resolution was observed in all 9 patients.
CONCLUSIONS: Congenital dacryocystocele is an uncommon unilateral condition of predominantly neonatal females. Clinical findings support a relatively high incidence of complications such as dacryocystitis and intranasal cysts as well as a less common finding of astigmatism that resolved without evidence of amblyopia. One-third of the cases were successfully managed with conservative treatment alone; most patients required surgical intervention.
Author List
Shekunov J, Griepentrog GJ, Diehl NN, Mohney BGAuthor
Gregory J. Griepentrog MD Associate Professor in the Ophthalmology and Visual Sciences department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AstigmatismCysts
Dacryocystitis
Female
Humans
Incidence
Infant
Infant, Newborn
Lacrimal Apparatus Diseases
Male
Minnesota
Nasolacrimal Duct
Orbital Cellulitis
Prevalence
Retrospective Studies
