Endoscopic management of congenital dacryocystocele

Congenital dacryocystocele is a relatively rare oculonasal anomaly which can result in symptomatic obstruction of the nasolacrimal system. Techniques utilized in the management of this condition include nasolacrimal duct probing, endoscopic dacryocystorhinostomy, and transnasal marsupialization. Operative adjuncts include balloon dacryocystoplasty, bicanalicular silastic intubation, and intranasal stenting. Recurrence is relatively uncommon and can be addressed with the application of long-term nasolacrimal stenting.