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FAQ: What is a Dacryocystocele?

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.

What does dacryocystocele mean?

A dacryocystocele is a cystic bluish swelling that can develop in the medial canthal area of the newborn within the first 12 weeks of life. 6, 7. It is due to accumulation of fluid trapped within the lacrimal sac, which is blocked distally at the nasolacrimal duct and proximally at the common canalicular duct.

What causes dacryocystocele?

Dacryocystocele is caused by blockage on the nasolacrimal duct, as a result when mucoid fluid collects in the intermediate patent section it forms a cystic structure. The cyst is formed by the eye and nose region. A blockage of epiphora can become an area for infections to take over.

Is dacryocystocele dangerous?

Congenital dacryocystocele is a rare presentation that can have serious consequences for the newborn if complicated by infection or nasal obstruction. They are unilateral in the majority of cases. Dacryocystitis appears to be a common complicating factor with almost half of cases developing signs of infection.

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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 13.

What is the treatment for Dacryocystitis?

Treatment of Dacryocystitis Acute dacryocystitis is usually treated with an antibiotic taken by mouth. If a fever is present or if the infection is severe, antibiotics given by vein may be required. Applying warm compresses to the area several times a day also helps.

What is congenital stenosis and stricture of lacrimal duct?

Congenital nasolacrimal duct obstruction (CNLDO) is a common condition causing excessive tearing or mucoid discharge from the eyes, due to blockage of the nasolacrimal duct system. Nasolacrimal duct obstruction affects as many as 20% children aged <1 year worldwide and is often resolved without surgery.

At what age do a person’s lacrimal glands start producing tears?

Around 2 weeks old, your baby’s lacrimal glands will begin increasing their production of tears, though you still may not notice much change. Sometime between 1 and 3 months of age is typically when babies actually start shedding more of the salty stuff when they cry, creating visible tears.

What is an infection of the lacrimal gland?

Dacryoadenitis is inflammation of the tear-producing gland (lacrimal gland).

Is DCR surgery necessary?

A dacryocystorhinostomy (DCR) is a surgery that creates a new path for tears to drain between your eyes and your nose. You may need this surgery if your tear duct has become blocked.

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

Most babies who have blocked tear ducts don’t need treatment. To help prevent infection and other problems until the blockage goes away: Keep the eye clean. To wipe away drainage, moisten a clean cotton ball or washcloth with warm water, and gently wipe from the inner (near the nose) to the outer part of the eye.

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How do you massage a baby’s blocked tear duct?

Doctors recommend massaging the tear duct area two to three times a day with freshly washed hands. Using your index finger, apply medium pressure to the part of your baby’s eye closest to the nose and massage downward, toward the nose.

What is lacrimal sac?

The lacrimal sac is the upper dilated end of the nasolacrimal duct, and is lodged in a deep groove formed by the lacrimal bone and frontal process of the maxilla. It is oval in form and measures from 12 to 15 mm. in length; its upper end is closed and rounded; its lower is continued into the nasolacrimal duct.

How long is DCR surgery?

A DCR is a type of surgery that is used to treat blocked tear ducts in adults. It creates a new passageway between the tear duct sac and the nose, bypassing the blockage and allowing tears to drain normally again. The operation usually takes about 1 hour.

What is nasolacrimal duct obstruction?

A blocked tear duct occurs when your nasal passageways cannot properly drain tear liquid from your eyes. You may have itchy, irritated or watery eyes. Sometimes, babies are born with blocked tear ducts. A clogged tear duct may heal on its own, or you may need surgery.

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