ContentsSynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferencesView all Images (3)
Emergency: requires immediate attention
Neonatal dacryocystitis - External and Internal Eye
Other Resources UpToDate PubMed
Emergency: requires immediate attention

Neonatal dacryocystitis - External and Internal Eye

Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
Other Resources UpToDate PubMed

Synopsis

This summary discusses dacryocystitis in neonates. Dacryocystitis in adults and children is addressed separately.

Neonatal dacryocystitis is a special type of dacryocystitis that occurs in less than 1% of all newborns. The onset is usually acute, and the neonate has a swollen mass in the inferior medial canthal area. Often, there is tearing and a mucopurulent discharge. Significant morbidity and even mortality can be associated with this condition. However, the usual course is more indolent with chronic tearing, mattering, failure to thrive, and even amblyopia. Due to anatomic differences, individuals of African descent are less likely to develop the condition. Although incomplete canalization of the nasolacrimal duct is often the basis for this condition, neonatal infection can also be causative.

Codes

ICD10CM:
P39.1 – Neonatal conjunctivitis and dacryocystitis

SNOMEDCT:
23735003 – Neonatal dacryocystitis

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Although the presentation of a swollen, often inflamed, tender mass with tearing or mucopurulent discharge is essentially pathognomonic for neonatal dacryocystitis, early cellulitis or other mass lesion must be considered.

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Updated:12/12/2016
Copyright © 2022 VisualDx®. All rights reserved.
Emergency: requires immediate attention
Neonatal dacryocystitis - External and Internal Eye
Neonatal dacryocystitis : Eyelid edema, Failure to thrive, Inferior eyelid, Medial canthus, Periorbital edema, Excessive tearing, Mucopurulent eye discharge
Clinical image of Neonatal dacryocystitis
Copyright © 2022 VisualDx®. All rights reserved.