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Dacryolithiasis and dacryocele: causes, symptoms, diagnosis, treatment
Last reviewed: 20.11.2021
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Dacryolithiasis
Dacryoliths (lacrimal stones) can occur in any part of the tear system, more often in men. Although the pathogenesis of dacryolithiasis is not entirely clear, it is suggested that secondary stasis of tears in inflammatory obstruction can accelerate the formation of dacriliths and squamous metaplasia of the lacrimal sac epithelium.
Features of dacryolithiasis
- Dacryolitis, as a rule, is asymptomatic. They can be detected during dacryocystorhinostomy.
- Some patients (usually elderly people) complain of inconstant lacrimation, frequent exacerbation of dacryocystitis and dilatation of the lacrimal sac.
Symptoms of dacryolithiasis
- The lacrimal sac is enlarged and hard enough. But not inflamed and soft, as in acute dacryocystitis.
- Reflux of mucus when pressing is not necessary.
Treatment of dacryolithiasis includes massage, lachrymal lavage and sounding; with complete obstruction, the dacryocystoria is shown.
Congenital dacryoceles are an accumulation of amniotic fluid or mucus in the lacrimal sac caused by a non-perforated valve Ilasner.
[Congenital dachriocele
The congenital dacryocel is manifested by perinatal cystic formation of a bluish color just below the inner corner of the eye gap, which is accompanied by lacrimation.
Symptoms of dacryocele: a dense tear bag, which is initially filled with mucus and can subsequently become infected.
Dacryoceles can be mistaken for an encephalocele, which is characterized by a pulsating swelling above the level of internal adhesion of the angle of the eye gap.
Treatment dacryocele is initially conservative, if inefficiency is not worth postponing the sounding.