J Korean Ophthalmol Soc.  2012 Feb;53(2):333-337.

A Case of Acquired Dacryocystocele Treated by Lacrimal Silicone Intubation

• Pahn MS
• Kim MJ
• Khwarg SI

Abstract

PURPOSE
To report a case of an acquired dacryocystocele successfully treated with bicanalicular silicone intubation and to review relating literature.
CASE SUMMARY
A 17-year-old girl visited our clinic with tearing of both eyes since birth and a mass on the right medial canthal area for 2 years. A firm, non-tender mass with a well-demarcated border was palpated in the subcutaneous level just inferior to the right medial canthal ligament. Lacrimal irrigation via the lower punctums showed reflux through the opposite punctums without nasal passage in both of her eyes. Computed tomographic scan showed a widening of the right lacrimal sac fossa and bony nasolacrimal canal and a 16 x 18 mm sized cyst-like mass in the right lacrimal sac. The patient was diagnosed with right acquired dacryocystocele associated with bilateral congenital nasolacrimal duct obstructions. After opening of the obstructed common canaliculus using a fine lacrimal probe, silicone intubation was performed. The tearing symptom improved and the mass disappeared during the subsequent follow-up period of 1 year.
CONCLUSIONS
When only accompanied by distal nasolacrimal duct obstruction, acquired dacryocystocele can be inferred to be associated with congenital nasolacrimal duct obstruction. Subsequently, bicanalicular silicone intubation can be considered as a treatment of choice.

Keyword

Congenital nasolacrimal duct obstruction; Dacryocystocele; Silicone intubation

MeSH Terms

Adolescent
Eye
Follow-Up Studies
Humans
Intubation
Ligaments
Nasolacrimal Duct
Parturition
Silicones
Silicones

Figure

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  Figure 1 Axial (A) and coronal (B) scans of the contrast-enhanced orbital CT show a 16 × 18 mm sized, well-demarcated, non enhancing, low density mass (white arrow) in the lacrimal sac area of the right eye.

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  Figure 2 Axial (A) and coronal (B) scans show that a bony nasolacrimal canal (white arrow) is also widened.

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