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 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.
Where is the valve of hasner located?
The valve of Hasner, a mucosal flap at the distal end of the nasolacrimal duct, prevents air from entering the lacrimal sac when the nose is blown; the valve of Hasner is called the “membrane of Hasner” if it hasn’t opened. Tears are swallowed after they pass from the nose into the posterior pharynx.
What antibiotics treat dacryocystitis?
The most common treatment of acute dacryocystitis involves oral antibiotics, such as cephalexin, amoxicillin-clavulanate, and ciprofloxacin for 7-10 days to eradicate the underlying bacterial infection. In very mild cases or for small flare ups, antibiotic eye drops or ointments may be considered.
What is Dacryops?
Dacryops, also known as lacrimal gland cyst or lacrimal duct cyst, was described more than 200 years ago. It is an uncommon but benign condition characterized by a fluid-filled cyst in association with normal lacrimal tissue.
What causes Dacryolith?
Conclusions: In patients with primary acquired NLDO who require DCR, male gender and presence of sac distension are more frequently associated with dacryoliths. Partial NLDO and history of cigarette smoking may also be relative risk factors for dacryolith formation.
What is common Canaliculus?
The upper and lower canaliculi join to form a single common canaliculus (CC) 3 to 5 mm long, which opens into the lateral wall of the lacrimal sac. 1. It is usually supposed that about 90% of the population has a CC and that in the remaining 10% the upper and lower canaliculi enter the sac separately.
What is nasolacrimal groove?
The groove extending from the inner angle of the eye to the primitive olfactory sac in the embryo. It separates the maxillary and lateral nasal processes; its epithelial lining gives rise to the nasolacrimal duct.
How is dacryocystitis diagnosed?
Diagnosis. Diagnosing dacryocystitis is relatively simple. During an exam, a doctor may ask for a person’s medical history and then access the eye for visible signs of dacryocystitis, such as swelling or redness. A doctor may press on the lacrimal sac to see if pus comes out.
How is Dacryoadenitis treated?
Bacterial dacryoadenitis will require systemic broad spectrum antibiotics and, when indicated, abscess drainage. Oral corticosteroids may be considered especially in idiopathic dacryoadenitis. Refractory cases may benefit from orbital radiation or systemic therapy such as rituximab or methotrexate.
What causes Dacryops?
Dacryops is thought to be due to prolapse of the lacrimal gland to a sufficient degree to produce obstruction of the lacrimal ducts and chronic inflammation of the lacrimal gland tissue that weakens the wall of the ductules and allows them to expand. Trauma has been implicated in the etiology of dacryops.
What is the pathophysiology of a dacryocele?
Dacryocele is also known as a dacryocystocele, amniotocele, amniocele. It is formed when a distal blockage of the lacrimal sac causes distention of the sac that also kinks and closes off the entrance to the common canaliculus. This prevents decompression by retrograde discharge of the accumulated secretions. They can occasionally be bilateral.
What is a dacryocele also called?
ICD10: Q10.5 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 a dacryocele diagnosed?
Ultrasonography can also be used in the detection of a dacryocele. B-scan will reveal a hollow round cavity with an ostium connected with the nasolacrimal duct, and the A-scan will reveal the high reflecting walls and very low internal reflectivity.
What is the prevalence of dacryocystocele in the US?
Dacryocystocele is most prominent among infants, the prevalence is 1 in 3884 live births. 90% of the infants with the condition recover by the time they turn a year old. Among the adult population, those 40 years old and older are more likely to develop the condition, especially women. 75% percent of dacryocystocele cases in adult are from women.