Process of spontaneous resolution in the conservative management of congenital dacryocystocele

Masashi Mimura,1,2 Mari Ueki,1 Hidehiro Oku,1 Bunpei Sato,2 Tsunehiko Ikeda11Department of Ophthalmology, Osaka Medical College, Takatsuki, 2Department of Ophthalmology, Osaka Kaisei Hospital, Osaka, JapanPurpose: To assess efficacy of the conservative management of patients with congenital dacryoc...

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Autores principales:	Mimura M, Ueki M, Oku H, Sato B, Ikeda T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1983473ab79e48aab57a16e568bd04fa
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spelling	oai:doaj.org-article:1983473ab79e48aab57a16e568bd04fa2021-12-02T00:16:08ZProcess of spontaneous resolution in the conservative management of congenital dacryocystocele1177-5483https://doaj.org/article/1983473ab79e48aab57a16e568bd04fa2014-02-01T00:00:00Zhttp://www.dovepress.com/process-of-spontaneous-resolution-in-the-conservative-management-of-co-a15965https://doaj.org/toc/1177-5483 Masashi Mimura,1,2 Mari Ueki,1 Hidehiro Oku,1 Bunpei Sato,2 Tsunehiko Ikeda11Department of Ophthalmology, Osaka Medical College, Takatsuki, 2Department of Ophthalmology, Osaka Kaisei Hospital, Osaka, JapanPurpose: To assess efficacy of the conservative management of patients with congenital dacryocystocele.Materials and methods: This was a retrospective case series involving six sides of five infants with a dacryocystocele treated at Osaka Kaisei Hospital, Osaka, Japan. The conservative management protocol consisted of the application of warm compresses and massage over the mass, with the addition of antibiotics when dacryocystitis developed. Patient age at the time of resolution, presence of retrograde outflow of contents of dacryocystoceles from the puncta, and development of dacryocystitis were recorded.Results: The dacryocystocele was unilateral in four patients and bilateral in one patient. A nasal cyst was present in four patients without respiratory distress. The median patient age at the time of the diagnosis was 7 days (range 2–10 days). Conservative management was selected in all patients, and the dacryocystocele was resolved in all patients at a median patient age of 14.5 days (range 11–105 days). Two sides developed dacryocystitis, which resolved in a few days with antibiotic treatment. In those two sides, rupture of the dacryocystoceles to the common canaliculus with retrograde discharge of the contents from the puncta before the dacryocystitis developed was noted. For the other four treated sides, no such discharge or development of dacryocystitis was observed.Conclusion: The findings of this study show that a dacryocystocele has a good chance of resolving spontaneously with conservative management and careful observation, and that rupture of the dacryocystocele to the common canaliculus might be an important precursor of dacryocystitis.Keywords: dacryocystitis, congenital lacrimal obstruction, remnant, precursor, retrograde dischargeMimura MUeki MOku HSato BIkeda TDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 465-469 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Mimura M Ueki M Oku H Sato B Ikeda T Process of spontaneous resolution in the conservative management of congenital dacryocystocele
description	Masashi Mimura,1,2 Mari Ueki,1 Hidehiro Oku,1 Bunpei Sato,2 Tsunehiko Ikeda11Department of Ophthalmology, Osaka Medical College, Takatsuki, 2Department of Ophthalmology, Osaka Kaisei Hospital, Osaka, JapanPurpose: To assess efficacy of the conservative management of patients with congenital dacryocystocele.Materials and methods: This was a retrospective case series involving six sides of five infants with a dacryocystocele treated at Osaka Kaisei Hospital, Osaka, Japan. The conservative management protocol consisted of the application of warm compresses and massage over the mass, with the addition of antibiotics when dacryocystitis developed. Patient age at the time of resolution, presence of retrograde outflow of contents of dacryocystoceles from the puncta, and development of dacryocystitis were recorded.Results: The dacryocystocele was unilateral in four patients and bilateral in one patient. A nasal cyst was present in four patients without respiratory distress. The median patient age at the time of the diagnosis was 7 days (range 2–10 days). Conservative management was selected in all patients, and the dacryocystocele was resolved in all patients at a median patient age of 14.5 days (range 11–105 days). Two sides developed dacryocystitis, which resolved in a few days with antibiotic treatment. In those two sides, rupture of the dacryocystoceles to the common canaliculus with retrograde discharge of the contents from the puncta before the dacryocystitis developed was noted. For the other four treated sides, no such discharge or development of dacryocystitis was observed.Conclusion: The findings of this study show that a dacryocystocele has a good chance of resolving spontaneously with conservative management and careful observation, and that rupture of the dacryocystocele to the common canaliculus might be an important precursor of dacryocystitis.Keywords: dacryocystitis, congenital lacrimal obstruction, remnant, precursor, retrograde discharge
format	article
author	Mimura M Ueki M Oku H Sato B Ikeda T
author_facet	Mimura M Ueki M Oku H Sato B Ikeda T
author_sort	Mimura M
title	Process of spontaneous resolution in the conservative management of congenital dacryocystocele
title_short	Process of spontaneous resolution in the conservative management of congenital dacryocystocele
title_full	Process of spontaneous resolution in the conservative management of congenital dacryocystocele
title_fullStr	Process of spontaneous resolution in the conservative management of congenital dacryocystocele
title_full_unstemmed	Process of spontaneous resolution in the conservative management of congenital dacryocystocele
title_sort	process of spontaneous resolution in the conservative management of congenital dacryocystocele
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/1983473ab79e48aab57a16e568bd04fa
work_keys_str_mv	AT mimuram processofspontaneousresolutionintheconservativemanagementofcongenitaldacryocystocele AT uekim processofspontaneousresolutionintheconservativemanagementofcongenitaldacryocystocele AT okuh processofspontaneousresolutionintheconservativemanagementofcongenitaldacryocystocele AT satob processofspontaneousresolutionintheconservativemanagementofcongenitaldacryocystocele AT ikedat processofspontaneousresolutionintheconservativemanagementofcongenitaldacryocystocele
_version_	1718403849030467584

Process of spontaneous resolution in the conservative management of congenital dacryocystocele

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