J Rhinol.  2024 Mar;31(1):42-45. 10.18787/jr.2023.00071.

A Case of Nasolacrimal Duct Obstruction Caused by a Lacrimal Sac Retention Cyst

• Yang SH
• Jung HJ
• Choi YS
• Shim WS

• KMID: 2554090
• DOI: http://doi.org/10.18787/jr.2023.00071

Abstract

Acquired nasolacrimal duct obstruction may result from chronic infection, lacrimal stones, anatomical variations such as aberrant ethmoid cells, facial fractures, or complications following nasal surgery. In Korea, there has been no reported case of secondary nasolacrimal duct obstruction due to a retention cyst in the lacrimal sac. Recently, the authors encountered a 65-year-old female patient who presented with epiphora, was diagnosed with a lacrimal sac retention cyst, and was successfully treated with endoscopic marsupialization.

Keyword

Lacrimal sac retention cyst; Nasolacrimal duct obstruction; Endoscopic marsupialization

Figure

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  Fig. 1. Dacryocystography shows proximal dilatation in the right lacrimal sac and complete obstruction at the duct-sac junction (arrowheads). There is a filling defect with a smooth margin on the inferolateral aspect of the lacrimal sac (arrow).

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  Fig. 2. Paranasal sinus computed tomography (CT) scans. A: Axial CT shows a round cystic mass (*) in the right lacrimal sac. B: Coronal CT shows a mass (*) at the right nasolacrimal sac junction.

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  Fig. 3. Intraoperative endoscopic finding shows a 1-cm cystic mass (arrow) in the lacrimal sac near the duct-sac junction.

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  Fig. 4. Immediate postoperative endoscopic view shows a wide, patent opening (arrow) and a marsupialized mucous retention cyst (arrowhead).

Reference

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