Dacryocystocele
Dacryocystoceles are typically noted shortly after birth and appear as a bluish swelling of the skin overlying the lacrimal sac and superior displacement of the medial canthal tendons. It is recommended that neonates with dacryocystoceles follow up with pediatric ophthalmology for further care due to risk of development of dacryocystitis.
Reference:
Paysse, E. A., & Coats, D. K. (2019). Congenital nasolacrimal duct obstruction (dacryostenosis) and dacryocystocele. Waltham, MA: UpToDate Inc.
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.