A Case of Congenital Lacrimal Amniotocele

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.