Associated signs, demographic characteristics, and management of dacryocystocele in 64 infants

Dagi, Linda R.; Bhargava, Ankit; Melvin, Patrice; Prabhu, Sanjay P.

doi:10.1016/j.jaapos.2012.01.004

Cited by 24 publications

(14 citation statements)

References 15 publications

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“…There is a female preponderance to this condition reported in our study, which is consistent with other reports. 7,10,11,17 This study found congenital dacryocystocele is more common in Caucasians, and are predominantly unilateral consistent with other reports. 7,11,18,19 Dacryocystitis complicated the condition in 49% of the patients in this study group but has been reported in up to 75% of patients in other studies.…”

Section: Discussionsupporting

confidence: 90%

“…16 The reported prevalence of dacryocystoceles in a well defined population of the United States of America has been reported to be 1 in 3884 live births estimated over a 20 year period; 11 however, such data are lacking in the United Kingdom. The condition is seen predominantly in females, 7,10,11,17 Caucasians, 11 and is more commonly unilateral. 7,11,[17][18][19] The treatment of congenital dacryocystocele remains controversial.…”

Section: Introductionmentioning

confidence: 99%

“…The condition is seen predominantly in females, 7,10,11,17 Caucasians, 11 and is more commonly unilateral. 7,11,[17][18][19] The treatment of congenital dacryocystocele remains controversial. 6,8,15 Dacryocystoceles have been reported to resolve spontaneously by birth in instances where they have been detected on antenatal imaging in utero; 20,21 however, the frequency of natural resolution of the condition in the post-natal period without treatment is not known.…”

Section: Introductionmentioning

confidence: 99%

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The presentation, clinical features, complications, and treatment of congenital dacryocystocele

Davies

Watkins

Kotecha

et al. 2017

Eye

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PurposeTo determine the incidence and presenting features of congenital dacryocystocele in the United Kingdom. To report on those cases complicated by dacryocystitis, respiratory compromise, and the treatment undertaken.MethodsA prospective observational study of cases of congenital dacryocystocele presenting in the United Kingdom between September 2014 and October 2015. Infants <3 months of age presenting with a cystic swelling in the medial canthal area were included. Cases were identified via the British Ophthalmology Surveillance Unit (BOSU) reporting system.ResultsA total of 49 cases were reported during the study period. This gives an incidence of 1 in 18 597 live births. There was a 71% response rate to the questionnaire. The average age at presentation was 16.94 days. Dacryocystoceles were unilateral in 91% of cases. Dacryocystitis was a complicating factor in 49% of patients and 17% had respiratory distress. Uncomplicated dacryocystocele responded well to conservative measures in 86%. Surgical intervention was required in 23% of patients. Those cases complicated by dacryocystitis (29%) and nasal obstruction (17%) were more likely to require surgical intervention compared to those with dacryocystocele alone (14%). Digital massage appears to reduce the likelihood of requiring surgical intervention. The mean time to resolution was 19 days.ConclusionsCongenital dacryocystocele is a rare presentation in the United Kingdom. Dacryocystitis and respiratory compromise commonly complicate a dacryocystocele. The use of digital massage as an early intervention is advocated and conservative measures may be sufficient in cases of uncomplicated dacryocystocele.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The presentation, clinical features, complications, and treatment of congenital dacryocystocele

Davies

Watkins

Kotecha

et al. 2017

Eye

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“…Many authors recommend massage and antibiotic therapy for uncomplicated dacryocystocele. 2 , 11 , 13 , 16 – 20 Although it was not statistically significant, Davies and colleagues 9 reported that the incidence of surgical intervention was higher in cases with dacryocystocele plus dacryocystitis than in cases with dacryocystocele alone. Some studies have reported that dacryocystocele was resolved with conservative management alone, without surgical interventions.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of lacrimal probing surgery as the first option in the treatment of congenital dacryocystocele

et al. 2021

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Purpose: To determine the demographic and clinical characteristics of newborn patients who underwent lacrimal probing surgical intervention with or without the marsupialization of intranasal cysts as the primary management for dacryocystocele treatment. Methods: Data from the medical charts of 350 infants who underwent lacrimal probing surgery due to nasolacrimal duct obstruction were reviewed retrospectively. Ten newborn patients with a naive diagnosis of congenital dacryocystocele were included in the study. Congenital dacryocystocele diagnosis was based on a triad of swelling in the inner canthal region, a bluish appearance, and epiphora. Lacrimal probing surgery accompanied by nasal endoscopy was planned for all patients as the first treatment option. Results: The mean age of the patients was 24.90 ± 7.15 days, with a range of 6–85 days. A total of 10 patients were included, comprising seven females and three males. The mean postoperative follow-up period was 38.7 ± 24.41 months. Five patients had left, four patients had right, and one patient had bilateral dacryocystocele. Seven eyes of the six patients had uncomplicated dacryocystocele, while the remaining patients had dacryocystocele with complications of dacryocystitis and/or preseptal cellulitis. All patients had intranasal cysts. All patients underwent one session of lacrimal probing surgery under general anesthesia; all with successful outcomes. Four patients with additional dacryocystocele-associated complications underwent combined intranasal marsupialization of the cyst wall. Discussion: Lacrimal probing surgery ± intranasal marsupialization of the cyst wall as a first treatment option can be effective for both congenital dacryocystocele and/or congenital dacryocystocele plus associated complications and provide complete resolution of dacryocystocele-related symptoms.

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“…Hierdurch kann es zur Entwicklung einer intranasalen zystischen Vorwölbung kommen (sog. Bochdalek-Endblase) [36]. Eine Therapie muss unmittelbar eingeleitet werden und umfasst die topische (ggf.…”

Section: Fehlbildungen Im Bereich Der Distalen Ableitenden Tränenwegeunclassified

Angeborene Fehlbildungen der ableitenden Tränenwege

Heichel

Heindl

Struck

2023

Laryngorhinootologie

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ZusammenfassungDie konnatale Tränenwegstenose ist der häufigste Grund einer ophthalmologischen Konsultation im Kindesalter. Sie ist mit Abstand am häufigsten bedingt durch eine persistierende Hasner-Membran. Aber es können selten auch angeborene Fehlbildungen der Tränenwege auftreten. Im Bereich der proximalen ableitenden Tränenwege kann es zur Anlage überzähliger Tränenpünktchen und Tränenröhrchen kommen, aber auch zu Divertikeln, Fisteln und Atresien. Die distalen ableitenden Tränenwege können von Fisteln, Amniotozelen und Zysten betroffen sein. Eine Assoziation von Tränenwegfehlbildungen mit angeborenen systemischen Erkrankungen wird in ca. 10% der Fälle beschrieben. In Abhängigkeit vom Schweregrad der Symptome kann eine chirurgische Sanierung erfolgen, wobei endoskopische Verfahren mit den Möglichkeiten der modernen Tränenwegschienungen wichtige Ergänzungen darstellen.

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Associated signs, demographic characteristics, and management of dacryocystocele in 64 infants

Cited by 24 publications

References 15 publications

The presentation, clinical features, complications, and treatment of congenital dacryocystocele

The presentation, clinical features, complications, and treatment of congenital dacryocystocele

Outcomes of lacrimal probing surgery as the first option in the treatment of congenital dacryocystocele

Angeborene Fehlbildungen der ableitenden Tränenwege

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