What is congenital dacryocystocele?

Introduction. Congenital dacryocystocele is an uncommon consequence of congenital nasolacrimal duct obstruction: it is believed to occur as a result of a concomitant upper obstruction of the Rosenmuller valve and lower obstruction of the Hasner valve 1–3.

How common is dacryocystocele?

Congenital dacryocystocele was diagnosed in 1 in 3,884 births in this population. The majority of patients were female with unilateral disease who presented within the first two weeks of life.

Does dacryocystocele go away on its own?

The lesions may resolve spontaneously,5 but they frequently become infected and progress rapidly to acute dacryocystitis and lacrimal sac abscesses. Dacryocystoceles are associated with nasolacrimal duct cysts.

What is a Dacryocele?

Dacryocele is also known as a dacryocystocele, amniotocele, amniocele, or mucocele. It is formed when a distal blockage (usually membranous) of the lacrimal sac causes distention of the sac, which also kinks and closes off the entrance to the common canaliculus.

How is canaliculitis treated?

Treatment of canaliculitis is warm compresses, irrigation of the canaliculus with antibiotic solution, and removal of any concretions or foreign bodies, which usually requires surgery (often done in the office with a local anesthetic).

How do you treat a blocked tear duct in a baby?

The most common treatment is gently milking or massaging the tear duct 2 to 3 times per day. In some cases, the tear duct needs to be opened using a probe. In more severe cases, your child may need surgery. Most blocked tear ducts heal on their own.

How is canaliculitis diagnosed?

Diagnosis of Canaliculitis Diagnosis is suspected based on symptoms and signs, expression of turbid secretions with pressure over the lacrimal sac and canaliculus, and a gritty sensation caused by necrotic material that can be felt during probing of the lacrimal system.

What causes canaliculitis?

Canaliculitis is caused by infection of the canaliculus. Although most often caused by a bacterial pathogen, it may also result from fungal or viral infection. Actinomyces israelii (an anaerobic filamentous gram-positive bacteria) is the most common pathogen.