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(Bhushan, Kaul, Gorey, & Rathie, 2017)

Paysse, Coats and Cassidy (2017) report that dacryocystoceles usually are noted at or shortly after birth. A bluish swelling of the skin overlying the lacrimal sac and superior displacement of the medial canthal tendon are the typical findings. Recommend follow up with pediatric Ophthalmology for further care due to risk of development of dacryocystitis.

Bhushan G, Kaul UR, Gorey AM, Rathie N. (2017). A rare case of bilateral congenital dacryocele. Oman J Ophthalmol, 10(1):57-58. doi:10.4103/ojo.OJO_145_2014

Paysse, E. A., Coats, D. K., Cassidy, M. (2017, April). Congenital nasolacrimal duct obstruction (dacryostenosis) and dacryocystocele. In T. W. Post (Ed.), UpToDate. Waltham, MA: UpToDate. Retrieved from ectionRanle I &anchor=H772424785#H 13

These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.