Figure 2.27. A dacryocystocele may occur as an autosomal dominant in families as exemplified by these twins. The lacrimal sac is blocked at both ends and a sterile swelling appears as a purplish swelling adjacent to the base of the nose. Simple lacrimal probing allows for a swift resolution of this problem; however, if there is anything atypical about the location or the appearance of the swelling, an ultrasound of the brain should be obtained to exclude an encephalocele.
Figure 2.28. If a lacrimal cyst becomes infected, the skin overlying the cyst becomes edematous and ery-thematous. Because septicemia, meningitis, and/or cavernous sinus thrombosis may occur, systemic antibiotics are indicated. Following a short period of antibiotics, probing of the lacrimal system should be performed.
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