EC Ophthalmology

Purpose: To discusses new surgical approach to treat dacryocystocele and prevent it recurrence.

Participant: A 5-week-old girl with a history of right medial canthal mass.

Intervention: Clinical evaluation, culture of mucopurulent discharge, surgical procedures involving endoscopic dacryocystorhinostomy with marsupialization of the cyst, probing, stenting, and complete removal of the cystic wall.

Results: The procedure successfully resolved the swelling and bluish discoloration, and the patient remained symptom-free during follow-up.

Conclusion: Marsupialization of dacryocystocele with total cystic wall removal achieved a favorable outcome and prevents recurrence of congenital dacryocystocele.

 Keywords: Congenital Dacryocystocele; Lacrimal Duct Obstruction; Dacryocystitis; Intranasal Cysts Endoscopic Dacryocystorhinostomy; Marsupialization

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