-
Journal of Clinical Ultrasound : JCU Oct 2021Congenital dacryocystocele (CD) is a rare disorder about which little is known. A nonsystematic review was performed with an addition of four new cases. Thirty-seven... (Review)
Review
Congenital dacryocystocele (CD) is a rare disorder about which little is known. A nonsystematic review was performed with an addition of four new cases. Thirty-seven studies were reviewed. The mean gestational age at evaluation was 32 ± 1.09 weeks suggesting that CD is a disorder of late second and third trimester. The mean diameter of dacryocystocele was 7.5 ± 1 mm. The overall associated fetal anomaly rate was 10.7%. In-utero resolution, neonatal resolution, and surgical management was concluded in 62% (n = 108), 29% (n = 52), and 8% (n = 14), respectively. In conclusion, the need for surgical correction and rate of accompanying fetal anomaly was found high.
Topics: Cysts; Female; Gestational Age; Humans; Infant, Newborn; Lacrimal Duct Obstruction; Pregnancy; Pregnancy Trimester, Third; Ultrasonography, Prenatal
PubMed: 34235752
DOI: 10.1002/jcu.23037 -
Ophthalmology Nov 2023
PubMed: 36535823
DOI: 10.1016/j.ophtha.2022.11.018 -
Ophthalmic Plastic and Reconstructive...
Topics: Canaliculitis; Cysts; Humans; Lacrimal Duct Obstruction; Scotoma
PubMed: 32732538
DOI: 10.1097/IOP.0000000000001761 -
Ultrasound in Obstetrics & Gynecology :... Jan 2020To investigate the potential value of routine ultrasound examination at 35-37 weeks' gestation in the diagnosis of previously unknown fetal abnormalities.
OBJECTIVE
To investigate the potential value of routine ultrasound examination at 35-37 weeks' gestation in the diagnosis of previously unknown fetal abnormalities.
METHODS
This was a prospective study of 52 400 singleton pregnancies attending for a routine ultrasound examination at 35 + 0 to 36 + 6 weeks' gestation; all pregnancies had a previous scan at 18-24 weeks and 47 214 also had a scan at 11-13 weeks. We included pregnancies resulting in live birth or stillbirth but excluded those with known chromosomal abnormality. Abnormalities were classified according to the affected major organ system, and the type and incidence of new abnormalities were determined.
RESULTS
In the study population, the incidence of fetal abnormality was 1.9% (995/52 400), including 674 (67.7%) that had been diagnosed previously during the first and/or second trimester, 247 (24.8%) that were detected for the first time at 35-37 weeks and 74 (7.4%) that were detected for the first time postnatally. The most common abnormalities that were diagnosed during the first and/or second trimester and that were also observed at 35-37 weeks included ventricular septal defect, talipes, unilateral renal agenesis and/or pelvic kidney, hydronephrosis, duplex kidney, unilateral multicystic kidney, congenital pulmonary airway malformation, ventriculomegaly, cleft lip and palate, polydactyly and abdominal cyst or gastroschisis. The most common abnormalities first seen at 35-37 weeks were hydronephrosis, mild ventriculomegaly, ventricular septal defect, duplex kidney, ovarian cyst and arachnoid cyst. The incidence of abnormalities first seen at 35-37 weeks was 0.5% and those that were detected exclusively for the first time at this examination were ovarian cyst, microcephaly, achondroplasia, dacryocystocele and hematocolpos. The incidence of abnormalities first seen postnatally was 0.1% and the most common were isolated cleft palate, polydactyly or syndactyly and ambiguous genitalia or hypospadias; prenatal examination of the genitalia was not a compulsory part of the protocol.
CONCLUSIONS
A high proportion of fetal abnormalities are detected for the first time during a routine ultrasound examination at 35-37 weeks' gestation. Such diagnosis and subsequent management, including selection of timing and place for delivery and postnatal investigations, could potentially improve postnatal outcome. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.
Topics: Abnormalities, Multiple; Diagnostic Tests, Routine; Female; Humans; Pregnancy; Pregnancy Trimester, Third; Pregnancy Trimesters; Prospective Studies; Ultrasonography, Prenatal
PubMed: 31595569
DOI: 10.1002/uog.20857 -
AJR. American Journal of Roentgenology Dec 2019The purpose of this study is to provide a comprehensive review of the radiographic anatomy and cross-sectional imaging findings of the full gamut of nasolacrimal... (Review)
Review
The purpose of this study is to provide a comprehensive review of the radiographic anatomy and cross-sectional imaging findings of the full gamut of nasolacrimal drainage apparatus diseases, highlighting imaging findings from the different nasolacrimal drainage apparatus surgeries, posttreatment complications, and potential imaging pitfalls. Radiologists play a critical role in guiding the management of nasolacrimal drainage apparatus diseases and should be familiar with the anatomy and characteristic imaging findings of commonly encountered nasolacrimal drainage apparatus abnormalities and surgeries.
Topics: Humans; Lacrimal Apparatus Diseases; Nasolacrimal Duct; Postoperative Complications
PubMed: 31483141
DOI: 10.2214/AJR.19.21507 -
Journal of Pediatric Ophthalmology and... 2024Bosma arhinia microphthalmia syndrome (BAMS) is a rare syndrome consisting of several craniofacial abnormalities, including congenital arhinia. In this case report, the... (Review)
Review
Bosma arhinia microphthalmia syndrome (BAMS) is a rare syndrome consisting of several craniofacial abnormalities, including congenital arhinia. In this case report, the authors present the first case of a patient with BAMS and dacryocystocele who successfully underwent dacryocystectomy. Dacryocystectomy may serve as a viable surgical approach for dacryocystocele in patients with abnormal nasal anatomy. .
Topics: Humans; Choanal Atresia; Nose; Microphthalmos; Eye Abnormalities; Abnormalities, Multiple; Lacrimal Duct Obstruction
PubMed: 38529747
DOI: 10.3928/01913913-20240208-01 -
Journal of Pediatric Ophthalmology and... Jul 2020
Topics: Diagnosis, Differential; Eyelids; Humans; Infant, Newborn; Lacrimal Apparatus Diseases; Mucocele; Nasolacrimal Duct
PubMed: 32687201
DOI: 10.3928/01913913-20200416-02 -
Journal Francais D'ophtalmologie Oct 2021
Topics: Cysts; Humans; Infant, Newborn; Lacrimal Apparatus Diseases; Lacrimal Duct Obstruction; Nasolacrimal Duct
PubMed: 33933311
DOI: 10.1016/j.jfo.2020.11.024 -
Journal of AAPOS : the Official... Dec 2020Punctal agenesis and other nasolacrimal abnormalities have been infrequently reported in CHARGE syndrome-a constellation of findings affecting the eyes, heart, choana,...
Punctal agenesis and other nasolacrimal abnormalities have been infrequently reported in CHARGE syndrome-a constellation of findings affecting the eyes, heart, choana, and ears-which generally presents at birth. We present a rare case of punctal agenesis with delayed-onset dacryocystocele/lacrimal sac mucocele in a teenager with CHARGE syndrome.
Topics: Adolescent; CHARGE Syndrome; Eye Abnormalities; Humans; Infant, Newborn; Lacrimal Apparatus Diseases; Lacrimal Duct Obstruction; Mucocele; Nasolacrimal Duct
PubMed: 33045382
DOI: 10.1016/j.jaapos.2020.07.008 -
Orbit (Amsterdam, Netherlands) Dec 2022Angioleiomyomas are benign tumors composed of smooth muscle and vascular endothelium. While infrequent in overall prevalence, they are exceptionally rare in the head and... (Review)
Review
Angioleiomyomas are benign tumors composed of smooth muscle and vascular endothelium. While infrequent in overall prevalence, they are exceptionally rare in the head and neck. Herein, we describe the case of a 65-year-old female who was found to have an angioleiomyoma of the right nasolacrimal duct. Endoscopic excision of the lesion along with medial maxillectomy and dacryocystorhinostomy was performed without complication. The current report is one of the few reported cases of angioleiomyoma of the lacrimal drainage system.
Topics: Female; Humans; Aged; Nasolacrimal Duct; Angiomyoma; Dacryocystorhinostomy; Endoscopy; Lacrimal Duct Obstruction
PubMed: 34057005
DOI: 10.1080/01676830.2021.1933080