RESUMO
In this study, we present a case of bilateral dacryocele with orbit magnetic resonance imaging (MRI) images. Otherwise healthy, full term, 46-day-old boy was referred for the evaluation of bilateral orbital mass with both eye discharge. External examination revealed palpable bluish mass on both medial canthus. On orbit MRI images, bilateral cystic masses were visible in his both nasolacrimal duct on T2 weighted MRI images with fluid level on left side. The size of masses had decreased after 3 days of diagnosis. There are only few previous articles describing on MRI findings of dacryocele, especially in bilateral cases. Therefore, we are here to present orbit MRI images of bilateral dacryocele that may be valuable to clinicians interested in congenital nasolacrimal anomalies.
Assuntos
Olho , Imageamento por Ressonância Magnética , Espectroscopia de Ressonância Magnética , Magnetismo , Imãs , Ducto Nasolacrimal , ÓrbitaRESUMO
A dacryocele is an uncommon complication of obstruction in nasolacrimal drainage system. It seems to occur as a result of a distal obstruction at the Hasner's valve and an proximal obstruction at the Rosenmuller's valve and has mostly been treated by opthalmologists until now. We present a rare case of dacryocele with recurrent dacryocystitis, which recurred after lacrimal probing and bougination. Dacryocele has been treated successfully through marsupialization under the endoscopic visualization.
Assuntos
Dacriocistite , Drenagem , Obstrução dos Ductos LacrimaisRESUMO
Congenital obstruction of the lacrimal system is common at the valve of Hasner. When a concomitant obstruction exists at the opening of the canaliculi in the tear sac, fluid accumulates and causes a distension of the lacrimal sac at birth. This condition is variously called congenital lacrimal amniotocele, mucocele or dacryocele. We have experienced a case of congenital lacrimal amniotocele that showed epiphora and tense blue-gray swelling over the right lacrimal sac since birth in a 24 day old boy. He has been treated with probing and topical antibiotic and has remained asymptomatic for six months.