Mansour A M, Cheng K P, Mumma J V, Stager D R, Harris G J, Patrinely J R, Lavery M A, Wang F M, Steinkuller P G
Department of Ophthalmology, University of Texas Medical Branch, Galveston 77550.
Ophthalmology. 1991 Nov;98(11):1744-51. doi: 10.1016/s0161-6420(91)32063-3.
Fifty-four cases of congenital dacryocele from several medical centers were reviewed retrospectively. There was strong female preponderance (73%) and unilateral involvement (88%). Lacrimal sac contents could be expressed by local massage through the puncta in 21% of cases. Probing and irrigation were done under general (27.8%) or local (55.6%) anesthesia, while in other cases (16.7%), the cyst resolved before intervention. Recurrence of the dacryocele occurred in 10 patients (22%) after probing. Nasal cysts were visualized in six cases. Marsupialization of nasal cysts was necessary in four cases. In one center, after conservative therapy, 80% of cysts resolved spontaneously and 20% developed dacryocystitis. Surgical intervention is indicated in cases of dacryocystitis, cellulitis, breathing difficulty from large nasal cysts, recurrent dacryocele, and lack of its resolution after a short trial of digital massage.
回顾性分析了来自多个医疗中心的54例先天性泪囊膨出病例。女性明显居多（73%），且多为单侧发病（88%）。21%的病例可通过经泪点局部按摩挤出泪囊内容物。27.8%的病例在全身麻醉下进行探通和冲洗，55.6%在局部麻醉下进行，其余16.7%的病例囊肿在干预前自行消退。10例患者（22%）探通后泪囊膨出复发。6例可见鼻囊肿。4例需要行鼻囊肿袋形缝合术。在一个中心，保守治疗后，80%的囊肿自行消退，20%发展为泪囊炎。对于泪囊炎、蜂窝织炎、因巨大鼻囊肿导致呼吸困难、复发性泪囊膨出以及短期手指按摩试验后囊肿未消退的病例，均需进行手术干预。
