A case report of chronic dacryocystitis caused by nasal stones.
Case report
Chronic dacryocystitis
Lacrimal CT angiography
Maxillary osteonecrosis
Nasal calculi
Journal
BMC ophthalmology
ISSN: 1471-2415
Titre abrégé: BMC Ophthalmol
Pays: England
ID NLM: 100967802
Informations de publication
Date de publication:
06 Nov 2023
06 Nov 2023
Historique:
received:
30
04
2023
accepted:
26
10
2023
medline:
7
11
2023
pubmed:
6
11
2023
entrez:
5
11
2023
Statut:
epublish
Résumé
This paper reports a case of chronic dacryocystitis due to nasal stones. An 84-year-old male patient was admitted to the hospital with chronic dacryocystitis of the right eye due to tearing and purulent discharge from the right eye for more than 1 month. Antibiotic treatments such as gatifloxacin eye drops were given at other hospitals but did not relieve the symptoms. A computed tomography(CT) scan of the lacrimal duct in our department showed a high-density shadow in the right lacrimal sac area, hypertrophy of the right inferior turbinate, and many nasal calculi in the nasal cavity. The patient was transferred to our otolaryngology department for further treatment, and nasal stones were removed under nasal endoscopy. Three days after surgery, the symptoms affecting the patient's right eye gradually resolved. One month after surgery, the patient underwent a follow-up examination in the ophthalmology clinic; there was no lacrimal purulent discharge from the right eye, and the lacrimal duct could be flushed smoothly. Chronic dacryocystitis is often caused by primary nasolacrimal duct obstruction. Cases of chronic dacryocystitis caused by secondary nasolacrimal duct obstruction due to nasal stones are rare in the clinic. This case can serve as a reference for the clinical diagnosis and treatment of chronic dacryocystitis.
Sections du résumé
BACKGROUND
BACKGROUND
This paper reports a case of chronic dacryocystitis due to nasal stones.
CASE PRESENTATION
METHODS
An 84-year-old male patient was admitted to the hospital with chronic dacryocystitis of the right eye due to tearing and purulent discharge from the right eye for more than 1 month. Antibiotic treatments such as gatifloxacin eye drops were given at other hospitals but did not relieve the symptoms. A computed tomography(CT) scan of the lacrimal duct in our department showed a high-density shadow in the right lacrimal sac area, hypertrophy of the right inferior turbinate, and many nasal calculi in the nasal cavity. The patient was transferred to our otolaryngology department for further treatment, and nasal stones were removed under nasal endoscopy. Three days after surgery, the symptoms affecting the patient's right eye gradually resolved. One month after surgery, the patient underwent a follow-up examination in the ophthalmology clinic; there was no lacrimal purulent discharge from the right eye, and the lacrimal duct could be flushed smoothly.
CONCLUSION
CONCLUSIONS
Chronic dacryocystitis is often caused by primary nasolacrimal duct obstruction. Cases of chronic dacryocystitis caused by secondary nasolacrimal duct obstruction due to nasal stones are rare in the clinic. This case can serve as a reference for the clinical diagnosis and treatment of chronic dacryocystitis.
Identifiants
pubmed: 37926842
doi: 10.1186/s12886-023-03185-9
pii: 10.1186/s12886-023-03185-9
pmc: PMC10626694
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
445Subventions
Organisme : Sichuan Provincial Administration of Traditional Chinese Medicine
ID : 2023MS596
Organisme : Sichuan Provincial Administration of Traditional Chinese Medicine
ID : 2023MS596
Organisme : Sichuan Provincial Administration of Traditional Chinese Medicine
ID : 2023MS596
Informations de copyright
© 2023. The Author(s).
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