Efficiency of lachrymal sac drainage in newborns with dacryocystocele.

Authors

  • V. N. Sakovich
  • V. N. Serdyuk
  • N. G. Klopotskaya
  • I. N. Tarnopol'skaya

DOI:

https://doi.org/10.26641/2307-0404.2016.4.90789

Keywords:

newborns, dacryocystocele, lachrymal sac phlegmon

Abstract

The article represents results of treatment of 14 newborns with unilateral dacryocystocele. Patients age was 7.2±0.5 days. In 9 newborns (64.3%) dacryocystocele was complicated with lachrymal sac phlegmon; in 5 children (35.7%) any complications were absent. Drainage of lachrymal sac through the lower lachrymal canaliculus, instillation of antibiotics, systemic antibiotic therapy in case of phlegmon were performed in all the children. Lachrymal sac washing was performed with a solution of the antibiotic ofloxacin till clear fluid evacuation. If necessary the drainage was repeated in 10 days. The drainage of lachrymal sac was successful in all the patients. 2-3 weeks after the drainage probing of nasolachrymal duct was perfomed in 4 children (28.6%) including those 3 with lacrymal sac phlegmon. In 71.4% regression of dacryocystocele occurred itself. Any complications and side effects were not observed. Positive effect of the drainage, according to the authors, can be explained so that dilatation of lachrymal canaliculus before the procedure allows to eliminate Rosenmüller valve stenosis and  evacuation of fluid, mucus and pus, being breeding ground for microorganisms from lachrymal sac, promotes inflammation subsiding. Authors also recommend to pay attention on prenatal diagnosis of dacryocystocele, using ultrasound investigation in the 3rd trimester of pregnancy.

Author Biographies

V. N. Sakovich

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Department of Neurology and Ophthalmology
Dzerzhinsky str., 9, Dnipro, 49044, Ukraine

V. N. Serdyuk

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine» 
Department of Neurology and Ophthalmology
Dzerzhinsky str., 9, Dnipro, 49044, Ukraine

CE «Dnipropetrovsk Regional Clinical Ophthalmologic Hospital»
Dnipro, 49000, Ukraine

N. G. Klopotskaya

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine» 
Department of Neurology and Ophthalmology
Dzerzhinsky str., 9, Dnipro, 49044, Ukraine

I. N. Tarnopol'skaya

CE «Dnipropetrovsk Regional Clinical Ophthalmologic Hospital»
Dnipro, 49000, Ukraine

References

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Published

2016-12-22

How to Cite

1.
Sakovich VN, Serdyuk VN, Klopotskaya NG, Tarnopol’skaya IN. Efficiency of lachrymal sac drainage in newborns with dacryocystocele. Med. perspekt. [Internet]. 2016Dec.22 [cited 2024Nov.13];21(4):49-53. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/90789

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Section

CLINICAL MEDICINE