Congenital lacrimal system anomalies mimicking recurrent acute dacryocystitis

Ophthalmic Plastic and Reconstructive Surgery
Marsha C Kavanagh, Kenneth V Cahill

Abstract

We describe 2 cases of congenital lacrimal system anomalies that mimicked recurrent acute dacryocystitis. Two patients with painful swelling below the medial canthal tendon who were referred for acute dacryocystitis were evaluated clinically with findings suggestive of lacrimal system anomalies. Both patients presented in adulthood and both had a history of recurrent presumed acute dacryocystitis without epiphora. Both patients had complete absence of the lower puncta on the involved side. Irrigation via the upper system showed lacrimal drainage system patency in both cases. Surgical exploration confirmed the diagnosis of lacrimal system anomalies. The first patient had a lacrimal sac diverticulum; the second patient had a fistula connected to the common canaliculus with an adjacent cyst. Both patients were successfully treated with excision of the outpouchings. Congenital lacrimal drainage system anomalies should be considered in the diagnosis of recurrent dacryocystitis in cases where the lacrimal system appears patent. The infection can involve a fistula or diverticulum.

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Citations

May 24, 2012·Orbit·Yasuhiro TakahashiHirohiko Kakizaki
May 19, 2016·Orbit·Jia Quan ChaungMohammad Javed Ali
Jan 30, 2020·Orbit·Abdulmajeed AlaboudiAdel H Alsuhaibani
Jul 27, 2017·Ophthalmic Plastic and Reconstructive Surgery·Debrelle Lou P SiapnoYoon-Duck Kim
Jul 30, 2014·Ophthalmic Plastic and Reconstructive Surgery·Bryan R CostinJulian D Perry
Sep 2, 2017·Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society·Mohammad Javed Ali, Milind N Naik
Jun 29, 2018·Ophthalmic Plastic and Reconstructive Surgery·Nicholas J EnrightThomas G Hardy
Mar 28, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Ran Ben CnaanAvraham Abergel

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