| Title |
Prenatal diagnosis and perinatal outcome of congenital dacryocystoceles |
| Submitted by |
Dana Ahnood |
| Abstract Number |
309 |
| Abstract ID |
19-145 |
| Review Result |
poster presentation |
| Purpose |
Congenital dacryocystocele is a congenital cystic swelling caused by trapped fluid in the lacrimal sac associated with nasolacrimal obstruction. With modern ultrasonography techniques the condition can be picked up antenatally, although most cases resolve spontaneously before birth. The aim of this study is to present the outcomes of two cases of congenital dacryocystocele detected on antenatal ultrasonography that failed to resolve before delivery. |
| Methods |
Two cases of persistent congenital dacryocystocele were detected on antenatal ultrasonography within the last two years. The medical records of these patients were reviewed for maternal and neonatal features including size of dacryocystoceles, gestational age at detection and outcome. |
| Results |
In case 1, bilateral 13 mm smooth cysts were detected on antenatal ultrasound at 35 weeks of gestational age. These resolved with conservative measures within 10 weeks of birth.
In case 2, a right sided 11mm x 11mm cystic lesion at the medial canthus was detected at 37 weeks of gestational age. This resolved following syringing and intubation with a Crawford tube at 6 months of age. |
| Conclusion |
A better understanding of the outcome of dacryocystoceles detected on prenatal ultrasonography can help alleviate parents’ anxiety and help clinicians predict the prognosis of this condition. Our case series suggests that antenatal finding of large dacryocystoceles on ultrasonography may be managed conservatively initially, with surgical management reserved for cases that fail to resolve. The duration of continued conservative treatment of dacryocystoceles not complicated by dacryocystitis is not known but it seems reasonable to wait for a period of 6 months. |
Additional Authors
| Last name |
Initials |
City / Hospital |
Department |
| Ahnood |
Dana |
University Hospital of Wales |
Eye department |
| Rainsbury |
Paul |
University Hospital of Wales |
Eye department |
| Watts |
Patrick |
University Hospital of Wales |
Eye department |
