Current Diagnosis & Treatment Pediatrics: Disorders of the Nasolacrimal System | Quetions with 100 % correct answers | verified

How does obstruction typically occur? - Can result of any part of the drainage system from incomplete canalization of the duct or membranous obstructions How does nasolacrimal duct obstruction typically present? - Tearing, mucoid discharge from the affected eye (especially in the morning), erythema of one or both lids, conjunctivitis, light sensitivity, blepharospasm What are differential diagnosis for nasolacrimal obstruction? - Congenital glaucoma, foreign bodies, nasal disorders, allergies What are common complications of nasolacrimal duct obstruction? - Dacryocystits, orbital cellulitis, sepsis, respiratory distress What is the treatment for nasolacrimal duct obstruction? - Massage over nasolacrimal sac to empty debris, topical antibiotics, surgical probing, balloon dilation, silicone tube intubation What is congenital dacryocystocele? - Results from obstructions proximal and distal to the nasolacrimal sac What are clinical findings of congenial dacryocystocele? - Distended nasolacrimal sac with bluish hue that leads to hemangianoma. Digital pressure over the nodule may result in reflux of tears, mucus, or purulent discharge from the inferior eyelid punctum What are differential diagnosis for congenital dacrycocytocele? - Eyelid hemangioma, basal encephaloceleWhat are treatment for congenital dacrycocytocele? - Nasolacrimal duct probing and endoscopic marsupialization of the intranasal cyst under general anesthesia. Systemic antibiotics may be needed along with consult of ENT specialist