A Case of Fungal Ball Causing Acute Dacryocystitis.
10.3341/jkos.2017.58.4.455
- Author:
You Sook HWANG
1
;
Hee Jung YANG
;
Ji Sun PAIK
;
Suk Woo YANG
Author Information
1. Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. yswoph@hanmail.net
- Publication Type:Case Report
- Keywords:
Acute dacryocystitis;
Aspergillus fumigatus;
Dacryocystorhinostomy (DCR);
Fungal ball
- MeSH:
Adult;
Aspergillus fumigatus;
Dacryocystitis*;
Dacryocystorhinostomy;
Eyelids;
Female;
Follow-Up Studies;
Humans;
Lacrimal Apparatus;
Magnetic Resonance Imaging;
Nasolacrimal Duct;
Osteotomy
- From:Journal of the Korean Ophthalmological Society
2017;58(4):455-458
- CountryRepublic of Korea
- Language:Korean
-
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.
