Abstract

GONCALVES, Carolina; VAZ, Ana  and  REIS, Maria Eduarda. Neonatal respiratory distress...: A case for ophthalmology?. Nascer e Crescer [online]. 2014, vol.23, n.3, pp.155-157. ISSN 0872-0754.

Introduction: Congenital dacryocystocele is a rare nasolacrimal duct obstruction in the newborn, which can give early symptoms. Pathophysiology derives from the proximal and distal obstruction of the nasolacrimal duct. Clinical presentation includes cystic formations, infected or not, difficulty in breastfeeding or breathing difficulties. Classic presentation is a bluish, cystic, firm mass below the medial canthus, The correct diagnosis requires further investigation. Therapeutic intervention is dependent on the clinical outcome and may include antibiotics, local therapy and surgical intervention. Prognosis is good and usually does not imply future sequels. Case report: The authors present the case of a newborn, admitted in the 2nd day of life for respiratory distress. Physical examination showed signs of respiratory distress and bruise on inner corner left eye. There was subsequent development of quistic formation with inflammatory signs, with an initial diagnosis of dacryocystitis who, after CT scan of the orbits showed to be a dacryocystocele. Conclusion: Respiratory distress may be considered a case for ophtalmologic evaluation.

Keywords : Congenital; dacriocystocele; nasolacrimal duct; newborn; obstruction.

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