Lacrimal

Dacryocystocele

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Dacryocystocele, Dacryocele, Lacrimal Duct Cyst

  • See Also
  1. Dacryostenosis
  2. Dacryocystitis
  3. Dacryoadenitis
  • Pathophysiology
  1. Cyst resulting from Congenital Nasolacrimal Duct Obstruction (Dacryostenosis)
  • Findings
  1. Blue ot pink cystic mass at the medial canthus
  2. Other findings associated with underlying Dacryostenosis
    1. Epiphora
    2. Dacryoadenitis
  • Differential Diagnosis
  1. Dermoid Cyst
  2. Blue Nevus
  3. Deep Infantile Hemangioma
    1. Soft and compressible
    2. May appear in the first few weeks of life (not typically present at birth)
    3. More common in premature female infants
    4. Associated with superficial Telangiectasias
  4. Frontonasal Cephalocele (uncommon in medial canthus region)
    1. Compressible
    2. May enlarge or pulsate with straining or crying
  5. Glioma
  6. Neuroblastoma
  • Management
  1. Uncomplicated cases
    1. Manual massage for Dacryostenosis
    2. Monitoring
  2. Pediatric ophthalmology referral indications (for surgical intervention, lacrimal probing)
    1. Persistent lesions
    2. Large lesions
    3. Complicated by inflammation (Dacryoadenitis) or infection (Dacryocystitis)
  • References
  1. Contreras (2026) Am Fam Physician 114(1): 91-2 [PubMed]