By Gary M. White, MD

The dacryocystocele is a blockage both proximally and distally of the lacrimal system causing a cystic buildup of fluid.


It usually presents as a bluish, cystic, firm mass inferior to the medial canthus usually at around 7 days of life. It can be associated with a nasal cyst which can cause respiratory distress and feeding difficulties. The us of high-frequency ultrasound for diagnosis is rapid reliable and noninvasive [PD 2017;34;209].


Referral to ophthalmology for diagnosis and treatment is appropriate. They may use conservative treatment, e.g. massage, antibiotics, observation. Surgery may be needed.


University of Iowa


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