Neonatal Dacryocystitis Associated With Nasolacrimal Duct Cysts

Journal of Pediatric Ophthalmology and Strabismus - Tập 32 Số 2 - Trang 102-106 - 1995
Gregg T. Lueder1
1Department of Ophthalmology and Visual Sciences and Pediatrics, St. Louis Children's Hospital Eye Center, Washington University School of Medicine, Mo., USA.

Tóm tắt

ABSTRACT Neonatal dacryocystitis is a rare complication of congenital nasolacrimal duct (NLD) obstruction. Recent reports suggest that the association of neonatal dacryocystitis and NLD cysts may be more common than previously believed. The purpose of this study is to describe the nasal endoscopic findings and treatment of three patients with this disorder. In this prospective study, three consecutive patients who presented at 2 weeks of age or less with dacryocystitis were treated with NLD probing and rigid nasal endoscopy. All patients were found to have congenital NLD cysts at the time of NLD probing. The cysts were marsupialized under endoscopic visualization. The treatment was successful in all patients. Dacryocystitis in the early newborn period is commonly associated with NLD cysts. Nasal endoscopic marsupialization of the cysts is an effective adjunct to treatment of these patients.

Từ khóa


Tài liệu tham khảo

1. Grin TR Mertz JS Stass-Isera M. Congenital nasolacrimal duct cysts in dacryocystocele. Ophthalmology. 199 1;98: 1238- 1242.

2. Mansour AM Cheng KP Mumma JV et al. Congenital dacryocele. Ophthalmology. 1991 i98:1744- 1751.

3. Sullivan TJ Clarke MP Morin JD Pashby RC. Management of congenital daciyocystcoele. AustNZ J Ophlhalmol. 1992;20: 105-108.

4. Cassady JV. Developmental anatomy of nasolacrimal duct. Arch Opktkalmol. 1952;47:141-158.

5. Guerry D III Kendig EL Jr. Congenital impatency of the nasolacrimal duct. Arch Ophthalmol. 1948;39:193-201.

6. PetersenRA Robb RM. The natural course of congenital obstruction of the naeolacrimal duct. J Pediatr Ophthalmol Strabismus 1978; 16:246250.

7. Ffooks CO. Lacrimai abscess in the newborn. Sr J Ophthalmol. 1961;45:562-565.

8. Baraff LJ Bass JW Fleisher GR Klein JO McCracken GH Powell KR Schriger DL. Practice guideline for the management of infants and children O to 36 months of age with fever without source. Pediatrics. 1993;92:1-12.

9. Schaeffer AR Gordon RA Sood SK. Bacteremia following naeolacrimal duct probing (abstract). Invest Ophthalmol Vis Sci. 1990;31(euppl):610.

10. Sevel D. Development and congenital abnormalities of the nasolacrimal apparatus. J Pediatr Ophthalmol Strabismus. 1981;18:13-19.

11. Raflo GT Horton JA Sprinkle PM. An unusual intranasal anomaly of the lacrimai drainage system. Ophthalmic Surg. 1982; 13:74 1-744.

12. Lusk RP Muntz HM. Nasal obstruction in the neonate secondary to naaolacrimal duct cysts. Int J Pedia.tr Otorhinolaryngol. 1987;13:315322.

13. Edmond JC Keech RV. Congenital nasolacrimal sac mucocele associated with respiratory distress. J Pediatr Ophthalmol Strabismus. 1991;28:287-289.

14. Gonnering RS Lyon DB Fisher JC. Endoscopie laser-assisted lacrimal surgery. Am J Ophthalmol. 1991;111: 152-157.

15. Bolger WE Kennedy DW. Nasal endoscopy in the outpatient clinic. Otolaryngol Clin North Am. 1992;25:791-802.

16. Pollard ZF. Treatment of acute dacryocystitis in neonates. J Pediatr Ophthalmol Strabismus. 1991;28:34 1-343.

17. Weinstein GS Biglan AW Patterson JH. Congenital lacrimal sac mucoceles. Am J Ophthalmol. 1982;94: 106-1 10.

18. Divine RD Anderson RL Bumsted RM. Bilateral congenital lacrimal sac mucoceles with nasal extension and drainage. Arch Ophthalmol. 1983;101:246-248.

19. Meyer JR Quint DJ Holmes JM Wiatrik BJ. Infected congenital mucocele of the naaolacrimal duct. AJNR. 1993;14:1008-1010.

Thông tin
Thông tin xuất bản

Journal of Pediatric Ophthalmology and Strabismus

Tập 32 Số 2

102-106

Thông tin tác giả