The majority of congenital dacryoceles will resolve with massage of the swollen lacrimal sac with some requiring surgical intervention. We investigate our outcomes of surgical intervention of this condition.

Three neonates presented with unilateral dacryoceles. Conservative treatment in the form of massage resulted in the resolution of one case, two cases required endoscopic marsupialisation of the nasal cyst under general anaesthesia.

Conservative treatment resulted in resolution of one case, the other two resolved immediately with endonasal marsupialisation of the nasal cysts.

Simple endonasal marsupialisation of nasal cysts resolves dacryoceles with immediate resolution of symptoms. Timely treatment of congenital dacryoceles is important as respiratory distress can develop especially in untreated bilateral cases.