Document Detail

Radiographic visualization of congenital lacrimal sac mucoceles.
MedLine Citation:
PMID:  3954304     Owner:  NLM     Status:  MEDLINE    
The clinical presentation of a congenital mucocele is a blue-gray tense mass located inferior to the medial canthal ligament. The differential diagnosis is that of tumor and encephalocele. Diagnostic modalities such as simple transillumination and ultrasound aid the physician, but dacryocystography confirms the marked lacrimal sac distension. In three infants the sac could not be decompressed by massage, indicating that the canalicular-punctal system as well as the inferior lacrimal system were blocked. When the distended lacrimal sac compresses the two canaliculi and bends them on themselves, there is a functional trapdoor-type block. During the probing of these patients, we felt a snap when the lacrimal syringe was withdrawn from the distended sac. We concluded that this was due to kinking of the canaliculus by the enlarged sac.
G W Cibis; R O Spurney; J Waeltermann
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of ophthalmology     Volume:  18     ISSN:  0003-4886     ISO Abbreviation:  Ann Ophthalmol     Publication Date:  1986 Feb 
Date Detail:
Created Date:  1986-04-01     Completed Date:  1986-04-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0210137     Medline TA:  Ann Ophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  68-9     Citation Subset:  IM    
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MeSH Terms
Diagnosis, Differential
Infant, Newborn
Lacrimal Apparatus Diseases / congenital*,  radiography,  therapy
Mucocele / congenital*,  radiography,  therapy

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