Bilateral congenital dacryocystocele complicated with acute dacryocystitis

ABSTRACT Congenital dacryocystocele is an uncommon entity that results from a malformation of the nasolacrimal system, occurring predominantly in neonatal females. It may resolve spontaneously but can be associated with potentially serious complications as acute dacryocystitis, requiring referral to...

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Main Authors: Paulo de Tarso Ponte Pierre Filho, Lucas Linhares Pierre
Format: Article
Language:English
Published: Sociedade Brasileira de Oftalmologia 2023-02-01
Series:Revista Brasileira de Oftalmologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802023000100501&lng=en&tlng=en
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author Paulo de Tarso Ponte Pierre Filho
Lucas Linhares Pierre
author_facet Paulo de Tarso Ponte Pierre Filho
Lucas Linhares Pierre
author_sort Paulo de Tarso Ponte Pierre Filho
collection DOAJ
description ABSTRACT Congenital dacryocystocele is an uncommon entity that results from a malformation of the nasolacrimal system, occurring predominantly in neonatal females. It may resolve spontaneously but can be associated with potentially serious complications as acute dacryocystitis, requiring referral to an ophthalmologist. Bilateral cases of congenital dacryocystocele are rarely reported. We present a case of acute dacryocystitis occurring in a female newborn with bilateral congenital dacryocystocele who presented with bilateral epiphora and a mass in the right medial canthus since birth. Computed tomography revealed a bilateral soft tissue lesion in the medial canthus of the ocular globe. Dacryocystocele progressed to secondary infection on the right and patient developed acute dacryocistitis. She was admitted to the hospital for intravenous antibiotic therapy followed by the nasolacrimal system probing. This case report is also important to address the management of congenital dacryocystocele, and the decision to carry out the most suitable treatment, considering the diverse therapeutic options.
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spelling doaj.art-1169394005314adf93c3469746c3f5cf2023-02-14T07:31:29ZengSociedade Brasileira de OftalmologiaRevista Brasileira de Oftalmologia1982-85512023-02-018210.37039/1982.8551.20230005Bilateral congenital dacryocystocele complicated with acute dacryocystitisPaulo de Tarso Ponte Pierre Filhohttps://orcid.org/0000-0002-1018-0709Lucas Linhares Pierrehttps://orcid.org/0000-0002-4699-5512ABSTRACT Congenital dacryocystocele is an uncommon entity that results from a malformation of the nasolacrimal system, occurring predominantly in neonatal females. It may resolve spontaneously but can be associated with potentially serious complications as acute dacryocystitis, requiring referral to an ophthalmologist. Bilateral cases of congenital dacryocystocele are rarely reported. We present a case of acute dacryocystitis occurring in a female newborn with bilateral congenital dacryocystocele who presented with bilateral epiphora and a mass in the right medial canthus since birth. Computed tomography revealed a bilateral soft tissue lesion in the medial canthus of the ocular globe. Dacryocystocele progressed to secondary infection on the right and patient developed acute dacryocistitis. She was admitted to the hospital for intravenous antibiotic therapy followed by the nasolacrimal system probing. This case report is also important to address the management of congenital dacryocystocele, and the decision to carry out the most suitable treatment, considering the diverse therapeutic options.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802023000100501&lng=en&tlng=enDacryocystitisLacrimal duct obstructionNasolacrimal ductEye abnormalities
spellingShingle Paulo de Tarso Ponte Pierre Filho
Lucas Linhares Pierre
Bilateral congenital dacryocystocele complicated with acute dacryocystitis
Revista Brasileira de Oftalmologia
Dacryocystitis
Lacrimal duct obstruction
Nasolacrimal duct
Eye abnormalities
title Bilateral congenital dacryocystocele complicated with acute dacryocystitis
title_full Bilateral congenital dacryocystocele complicated with acute dacryocystitis
title_fullStr Bilateral congenital dacryocystocele complicated with acute dacryocystitis
title_full_unstemmed Bilateral congenital dacryocystocele complicated with acute dacryocystitis
title_short Bilateral congenital dacryocystocele complicated with acute dacryocystitis
title_sort bilateral congenital dacryocystocele complicated with acute dacryocystitis
topic Dacryocystitis
Lacrimal duct obstruction
Nasolacrimal duct
Eye abnormalities
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802023000100501&lng=en&tlng=en
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