Congenital dacryocystocele

DescriptionCase description

A neonate aged 7 days brought to the eye emergency service with the history of swelling in the lower medial aspect of the left eye since birth (figure 1). The systemically baby was stable without respiratory symptoms. There was an ill-defined reddish cystic swelling with central faint bluish discolouration, rest of the eyelid and ocular examination was normal. Nasal cavity examination was normal; ultrasonography showed well-defined cystic swelling without internal debris, and MRI of the head and orbit revealed well-defined cystic swelling in the lacrimal sac area with collection inside (figure 2). A diagnosis of congenital dacryocystocele was made and advised gentle lacrimal sac massage along with topical moxifloxacin 0.5% eye drops four times. At the end of 2 weeks, there was complete resolution of the swelling without any complications (figure 3). At present, after 3 months, the patient is in...

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