AIM: To retrospectively study infants with congenital dacryocystocele, discuss the cause of such diseases and treatment.

METHODS: We performed a retrospective chart review of all patients presenting with dacryocystoceles to our hospital between the years of 2002 and 2011.

RESULTS: Nine patients 10 eyes were identified(4 male, 5 female), presenting at a median age of 7 days of life. All patients presented with cellulitis or dacryocystitis, and required systemic and local antibiotics. Bacteria were detected in 90% in the lacrimal sac. 3 cases of G^-bacteria, which sensitive to levofloxacin, ciprofloxacin, and 6 cases of G ⁺ bacteria which sensitive to levofloxacin and tobramycin. Minimum sensitivity of bacteria to erythromycin. Two eyes required probing in the operating room.

CONCLUSION: Congenital dacryocystoceles with typical clinical manifestations can be early detected by neonatology and ophthalmologist, many with congenital lacrimal duct obstruction and become infected, which require systemic antibiotic treatment. Referral in the early neonatal period can aid intervention in time before complications such as infection occur.