A Case of Bilateral Dacryocystocele with Absence of the Lacrimal Puncta.

Moon, Jae Hyuk; Kim, Yoon Duck

Case Report

Journal of the Korean Ophthalmological Society 1990;31(1):81-85.
Published online January 1, 1990.

A Case of Bilateral Dacryocystocele with Absence of the Lacrimal Puncta.

Jae Hyuk Moon, Yoon Duck Kim

Department of Ophthalmology, Eulji General Hospital, Korea.

양안 누점 결손을 동반한 선천성 누낭팽창증 1 예

문재혁(Jae Hyuk Moon),김윤덕(Yoon Duck Kim)

Abstract

A 33-year-old female suffered from bilateral mass in the medial area and epiphora for 20 years. The mass recurred after incomplete removal several times. Ocular examination showed that the puncta and papillae of the both lower and upper lids were completely missing. At operation, there was obstruction in the bony portion of the nasolacrimal duct. The mass was a distended lacrimal sac. The lacrimal sac and the mucosa of the nasolacrimal duct were compJetely excised in the right side. The excision of lacrimal sac and mucosa of the nasolacrimal duct and conjunctivo-rhinostomy using Jones tube were performed in the left side. Nine months after operation, the patient was happy with the results and there was no recurrence.

Key Words: absence of the lacrimal puncta;congenital dacryocystocele;conjunctivo-rhinostomy using Jones tube;medial canthal mass