Purpose: 

To study the presentation, management, and outcomes of infantile acute dacryocystitis.

Methods: 

Retrospective study of infants diagnosed with acute dacryocystitis over a period from June 2016 to December 2019. Data collected include demographics, clinical history, presenting features, management, complications, and outcomes. Treatment provided was intensive medical care followed by early probing under endoscopic guidance. Further interventions, where needed, were performed based on intraoperative findings during probing. Successful outcomes were defined as resolution of infection, subjective relief from epiphora, and anatomical patency determined by a normal fluorescein dye disappearance test.

Results: 

Twenty-seven eyes of 27 infants were analyzed during the study period. The mean age of infants was 3.26 months, and males were more affected than females (male:female 15:12). The mean duration of symptoms was 4.66 weeks, with 96% (26/27) presenting with symptoms of redness, watering, discharge, and swelling. Preseptal cellulitis was seen in 74% (20/27) infants, lacrimal abscess in 67% (18/27) infants, and lacrimal fistula in 37% (10/27). Most infants had complex congenital nasolacrimal duct obstruction (62%, 13/27), of which 7 also had intranasal cysts. One infant successfully underwent endoscopic dacryocystorhinostomy. At a mean follow-up period of 7.95 months, successful outcomes were observed in 90.4% (19/21) infants. The 2 failed cases were complex congenital nasolacrimal duct obstruction with associated sac diverticula and are scheduled for an endoscopic dacryocystorhinostomy.

Conclusion: 

Infantile acute dacryocystitis is a distinct clinical entity. The outcomes of systemic antibiotics and early probing are excellent.

中文翻译：

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先天性鼻泪管阻塞更新研究（CUP 研究）：论文 4 — 婴儿急性泪囊炎 (InAD) — 介绍、管理和结果

目的： 

研究婴儿急性泪囊炎的表现、治疗和结果。

方法： 

对 2016 年 6 月至 2019 年 12 月期间诊断为急性泪囊炎的婴儿进行的回顾性研究。收集的数据包括人口统计学、临床病史、表现特征、管理、并发症和结果。提供的治疗是重症监护，然后在内窥镜引导下进行早期探查。根据探查期间的术中发现，在需要时进行进一步的干预。成功的结果被定义为感染的消退、溢泪的主观缓解和由正常荧光素染料消失试验确定的解剖学通畅性。

结果： 

在研究期间分析了 27 名婴儿的 27 只眼睛。婴儿的平均年龄为 3.26 个月，男性比女性受影响更大（男性：女性 15:12）。症状的平均持续时间为 4.66 周，96% (26/27) 的患者出现发红、流泪、分泌物和肿胀的症状。74% (20/27) 婴儿出现隔膜前蜂窝织炎，67% (18/27) 婴儿出现泪腺脓肿，37% (10/27) 出现泪道瘘。大多数婴儿有复杂的先天性鼻泪管阻塞（62%, 13/27），其中 7 人还患有鼻内囊肿。一名婴儿成功接受了内窥镜泪囊鼻腔吻合术。在 7.95 个月的平均随访期中，90.4% (19/21) 的婴儿获得了成功的结果。

结论： 

婴儿急性泪囊炎是一种独特的临床疾病。全身抗生素和早期探查的结果非常好。