Efficiency of lachrymal sac drainage in newborns with dacryocystocele

Journal Title: Медичні перспективи - Year 2016, Vol 21, Issue 4

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 Rosenmьller 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.

Authors and Affiliations

V. N. Sakovich, N. G. Klopotskaya, I. N. Tarnopol'skaya

Keywords

Related Articles

Pharyngalgia: self-treatment or the qualified help of the family doctor?

Self-treatment by pharmaceuticals is an actual problem of health care, patients more and more often address to the pharmacist, not visiting the family doctor for various reasons. In this case, the role of the pharmacist...

Особливості клінічного перебігу тяжкої негоспітальної пневмонії 

 Исходя из данных проспективного анализа за год наблюдения, в статье приведены данные об особенностях течения тяжёлой негоспитальной пневмонии у больных, находившихся на стационарном лечении в отделении пульмонологи...

Toxicological and hygienic regulation and assessment of danger of the new fungicide-cyflufenamid

Toxicodynamic peculiarities of the new fun­gicide – cyflufenamid were studied. It was found that in accordance with hygienic classification of pesticides, cyflufe­namid is referred to the 3rd class of hazard (moderately...

Primary dyslipidemia and cardiometabolic risk: potential of pitavastatin  

The review is de¬voted to the most important aspects of primary mixed dyslipidemia treatment in patients at high risk with concomitant metabolic comorbidities. Evidences for novel modern approaches regarding primary prev...

Рівень безпліддя в областях за даними МОЗ України 

Цель – оценка частоты и риска распространенности (в т.ч. впервые выявленной) на бесплодие среди населения Украины, рисков возникновения бесплодия, в т.ч. женского и мужского. Материалы и методы. Частоту бесплодия рассчит...

Download PDF file
  • EP ID EP179009
  • DOI -
  • Views 53
  • Downloads 0

How To Cite

V. N. Sakovich, N. G. Klopotskaya, I. N. Tarnopol'skaya (2016). Efficiency of lachrymal sac drainage in newborns with dacryocystocele. Медичні перспективи, 21(4), 49-53. https://europub.co.uk/articles/-A-179009