A Lacrimal Punctal Keratinizing Cyst of the Lower Lid
10.3341/jkos.2019.60.7.692
- Author:
Tae Seen KANG
1
;
Yeon Hee LEE
;
Sung Bok LEE
Author Information
1. Department of Ophthalmology, Chungnam National University College of Medicine, Daejeon, Korea. sblee@cnu.ac.kr
- Publication Type:Case Report
- Keywords:
Keratinizing cyst;
Lacrimal punctum
- MeSH:
Diagnosis, Differential;
Epithelium;
Female;
Goblet Cells;
Humans;
Lacrimal Apparatus;
Middle Aged;
Prognosis;
Recurrence
- From:Journal of the Korean Ophthalmological Society
2019;60(7):692-695
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We report an unusual case of a keratinizing cyst on the lacrimal punctum. CASE SUMMARY: A 49-year-old female presented with an outpouching punctal mass at the left lower lid that occurred a week prior to her visit. Histopathological examination revealed a cyst filled with keratin arranged in lamina and surrounding the bacterial colony. The epithelial wall was composed of multilaminar, keratinizing squamous epithelium without goblet cells. The features were consistent with a keratinizing cyst. There was no recurrence at 4 months after the excision, and the punctum was patent. CONCLUSIONS: Keratinizing cyst should be considered as a differential diagnosis of the cystic mass of the punctum. Because it has an excellent prognosis after surgical resection, complete resection should be performed if a keratinizing cyst is suspected.
