Sullivan T J, Clarke M P, Morin J D, Pashby R C
Department of Ophthalmology, Hospital for Sick Children, Toronto, Canada.
Aust N Z J Ophthalmol. 1992 May;20(2):105-8. doi: 10.1111/j.1442-9071.1992.tb00720.x.
Congenital dacryocystocoele occurs when the nasolacrimal drainage apparatus in the newborn has concomitant blocks at the level of the junction of the common canaliculus with the lacrimal sac and at the distal end of the nasolacrimal duct. This results in a typical pink or blue swelling in the region of the medial canthus. Spontaneous resolution is common, although dacryocystitis may supervene. Treatment should be conservative unless dacryocystitis occurs, or intranasal extension coexists. A series of seven consecutive cases is presented and a management plan for the neonate with congenital dacryocystocoele is proposed.
先天性泪囊膨出是指新生儿鼻泪引流系统在总泪小管与泪囊交界处及鼻泪管远端同时存在阻塞。这会导致在内眦区域出现典型的粉红色或蓝色肿胀。尽管可能并发泪囊炎,但自发消退很常见。除非发生泪囊炎或存在鼻内扩展,治疗应采取保守方法。本文报告了连续7例病例,并提出了针对先天性泪囊膨出新生儿的管理方案。