Obstruction of the nasolacrimal duct can result in a dacrocystocele.

Patient selection: usually an infant less than 12 weeks of age. It is more common in Caucasians and in females.


Clinical findings:

(1) epiphora (overflow of tears onto the cheek)

(2) mucoid or mucopurulent drainage

(3) cystic bluish swelling in the medial canthal area


The changes are usually unilateral.



(1) dacrocystitis (infection)

(2) nasal obstruction (due to intranasal extension of the cyst into nasopharynx)

(3) respiratory compromise due to the nasal obstruction in an obligate nasal breather



• Conservative management may be sufficient, with digital massage of the mass.

• Antibiotic therapy may be necessary for bacterial dacrocystitis.

• Probing of the duct or endonasal decompression of the cyst may be necessary.

• A patient who develops dacrocystitis or nasal obstruction is more likely to need some form of intervention.

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