Newborn Nursery at LPCH


photo by Janelle Aby, MD

This infant was noted at birth to have some bluish nodules inferior to the medial canthi of both eyes, widely spaced eyes (hypertelorism), and a flat nasal bridge. The nodules are dacrocystoceles. They are caused by obstructions at both superior and inferior ends of the nasolacrimal duct. Though relatively small externally, these lesions almost completely obstructed the nasal passages. For this reason, internal nasal evaluation is recommended when the dacrocystoceles are bilateral, even when the patient is otherwise asymptomatic (as this child was).

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