Congenital: imperforate membrane, incomplete canalization, or atresia leads to tears and mucus accumulation causing a dacryocystocele, if infected/inflamed, use the term dacryocystitis
Adults: acquired from any cause of obstruction
Imaging: often obtained to evaluate for orbital cellulitis
Look for a well defined cystic lesion at the medial canthus with continuity with the nasolacrimal duct
When reporting, discuss the extent of the lesion, laterality, and if there are signs of infection 🧠
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