J Korean Ophthalmol Soc.  2017 Apr;58(4):455-458. 10.3341/jkos.2017.58.4.455.

A Case of Fungal Ball Causing Acute Dacryocystitis

Affiliations
  • 1Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. yswoph@hanmail.net

Abstract

PURPOSE
We report a case of fungal ball after Endoscopic Dacryocystorhinostomy (DCR) in a 40-year-old female patient. CASE SUMMARY: A 40-year-old female patient was admitted to our hospital for left lower eyelid tenderness and bloody discharge from the lacrimal punctum. During a planned endoscopic DCR, the sac was opened after the osteotomy, and 2 fungal balls were found in the lacrimal sac. The masses were 7 × 5 mm and, 9 × 5 mm sized, irregularly shaped, and red in color. Aspergillus fumigatus was diagnosed pathologically. Postoperative paranasal sinus magnetic resonance imaging showed no residual fungal ball. During follow-up, the patient showed patent rhinostomy opening, and there was no evidence of fungal infection on nasal endoscopic finding.
CONCLUSIONS
Although Aspergillus fumigatus is a rare cause of canalicular obstruction, fungal ball development in the lacrimal sac can cause acute dacryocystitis.

Keyword

Acute dacryocystitis; Aspergillus fumigatus; Dacryocystorhinostomy (DCR); Fungal ball

MeSH Terms

Adult
Aspergillus fumigatus
Dacryocystitis*
Dacryocystorhinostomy
Eyelids
Female
Follow-Up Studies
Humans
Lacrimal Apparatus
Magnetic Resonance Imaging
Nasolacrimal Duct
Osteotomy
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