Dacryocystography with nasolacrimal probing under fluoroscopic guidance for treatment of congenital dacryocystocele.

A congenital dacryocystocele is an uncommon variant of congenital nasolacrimal duct obstruction(1) and usually presents as a blue, cystic enlargement of the lacrimal sac just below the medial canthus. (1) It is usually accompanied by epiphora.(1) These findings are seen at birth or develop within the first few weeks of life, and a secondary dacryocystitis frequently develops.(1) It is often complicated by an intranasal cyst, which contributes to airway obstruction.(1-3) The treatment of congenital dacryocystocele is still controversial. We report a case of dacryocystocele in which dacryocystography with nasolacrimal probing under fluoroscopic guidance was effective.