Title: Spontaneous resolution of congenital bilateral dacryocystocele by conservative management
Abstract:
The presentation titled "Spontaneous Resolution of Congenital Bilateral Dacryocystocele by Conservative Management" discusses a rare case of congenital bilateral dacryocystocele. This condition, which affects 0.1-0.3% of newborns, is more common in females and typically presents at or shortly after birth. The case report focuses on a 23-day-old female infant diagnosed with bilateral swelling over the sac area since birth, identified accidentally during an antenatal scan. The presentation details the diagnostic process, including antenatal scans and clinical examinations, which revealed firm, non-erythematous, bluish cystic swellings below the medial canthal tendon. Differential diagnoses considered included dacryocystitis, encephalocele, and ethmoid mucocele. An E.N.T opinion confirmed the diagnosis of congenital bilateral dacryocystocele without intranasal cysts. The treatment involved antibiotic eye drops, warm compresses, and lacrimal sac massage, leading to the resolution of the swelling. The infant showed no recurrence at six months and one year. The presentation emphasizes the importance of early diagnosis and a multidisciplinary approach for effective management.
Key Message: Importance of early diagnosis and multidisciplinary approach in the management of congenital dacryocele.
