Management of congenital dacryocystocoele

Sullivan, Tim; Clarke, Michael; Morin, Julie; Pashby, Robert C.

doi:10.1111/j.1442-9071.1992.tb00720.x

Cited by 30 publications

(14 citation statements)

References 19 publications

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“…Unilateral involvement has been reported to range from 60% 13 to 100%, 1,6,8,14 similar to the 89% reported in this cohort. Likewise, a large proportion of the study patients (89%) were non-Hispanic whites, as has been reported in prior studies (83% 3 to 100% 6 ). Three-fourths of the study patients were female, consistent with prior reports ranging from 20% 13 to 100%, 1 with the majority being above 57%.…”

Section: Discussionsupporting

confidence: 85%

Prevalence and clinical characteristics of congenital dacryocystocele

Shekunov¹,

Griepentrog²,

Diehl³

et al. 2010

Journal of American Association for Pediatric Ophthalmology and

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Purpose To report the prevalence, clinical findings, and outcomes in children diagnosed with congenital dacryocystocele in a well-defined population over 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 an incidence of 1 in 3884 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%), while 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.

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Section: Discussionsupporting

confidence: 85%

Prevalence and clinical characteristics of congenital dacryocystocele

Shekunov¹,

Griepentrog²,

Diehl³

et al. 2010

Journal of American Association for Pediatric Ophthalmology and

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“… 8 However, one may expect recurrence or infection in >20%. 9,13,14 Schnall and Christian described 17 patients who were treated conservatively with 76% resolving within 1 week. However, 4 of the 17 patients (24%) developed dacryocystitis.…”

Section: Discussionmentioning

confidence: 99%

Congenital Dacryocystocele Associated With Intranasal Cysts: Diagnosis and Management

et al. 2003

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True dacryocystoceles are a relative rarity. The literature describes a variable natural course of these lesions with resultant controversy in their management. The current results demonstrate successful treatment in 6 of 7 patients with an early combined surgical approach and 2 of 2 patients treated by probing alone. The high failure rate with conservative management, reported in the literature, supports early surgical intervention.

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“…Conservative treatment is initially recommended (lacrimal sac massage, topical and/or systemic antibiotic therapy) during the first months of life. (23)(24)(25) Lacrimal probing is recommended when conservative treatment is ineffective or when the child presents severe infection or respiratory distress. (26,27) According to the literature, early probing can prevent infections and sequelae (tissue distortion in the inner canthus, induction of corneal astigmatism, and anisometropic amblyopia).…”

Section: Discussionmentioning

confidence: 99%

Congenital dacryocystocele: case report and treatment

Lorena¹,

Gonçalves²,

Silva³

2014

Revista Brasileira De Oftalmologia

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The dacryocystocele represents a rare congenital anomaly in the medial region of the orbit caused by distal obstruction (Hasner valve) and proximal (valve Rosenmüller) RESUMOA dacriocistocele representa uma rara anomalia congênita da região medial da órbita, causada pela obstrução distal (ao nível da válvula de Hasner) e proximal (ao nível da válvula de Rosenmüller) da via lacrimal, com subsequente dilatação do saco lacrimal. Recebe o nome de mucocele, quando seu conteúdo representa muco, ou amniocele, quando o seu conteúdo é preenchido por fluido amniótico. Acomete somente 0.1% das crianças, com obstrução do ducto lácrimonasal, sendo comumente unilateral e mais frequente no sexo feminino e com predisposição familiar. O diagnóstico é realizado pelas características clínicas: lesão cística tensa, abaixo do tendão cantal medial, de coloração azulacinzentada, rósea ou vermelha acompanhada por epífora desde o nascimento. No entanto podemos utilizar exames de imagem para diagnosticar esta anomalia congênita tais como: tomografia computadorizada, ressonância magnética e ultrassonografia.Descritores: Obstrução dos ductos lacrimais/congênito; Obstrução dos ductos lacrimais/diagnóstico; Obstrução dos ductos lacrimais/terapia; Obstrução dos ductos lacrimais/ultrassonografia; Cisto epidérmico; Cisto dermóide; Relatos de casos

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Management of congenital dacryocystocoele

Cited by 30 publications

References 19 publications

Prevalence and clinical characteristics of congenital dacryocystocele

Prevalence and clinical characteristics of congenital dacryocystocele

Congenital Dacryocystocele Associated With Intranasal Cysts: Diagnosis and Management

Congenital dacryocystocele: case report and treatment

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