Journal of the Korean Ophthalmological Society 2006;47(9):1481-1485.
Published online September 30, 2006.
A Case of Fungall Ball after External Dacryocystorhinostomy.
Ji Won Lim, Jeong Won Suh, Sun Joo Lee
Department of Ophthalmology, Hallym University Sacred Heart Hospital, Gyeonggi-do, Korea. ljy690725@hanmail.net
눈물주머니코안연결술 시행 후 발견된 부비동내 진균구 1예
임지원,서정원,이선주
Department of Ophthalmology, Hallym University Sacred Heart Hospital, Gyeonggi-do, Korea
Correspondence:  Ji Won Lim, M.D.
Abstract
PURPOSE
We report a case of fungal ball after dacryocystorhinostomy in a 72-year-old female patient. METHODS: A 72-year-old female patient was admitted to our hospital for a tearing on the right eye and underwent external dacryocystorhinostomy. The patient revisited our clinic with a mass originating from her mouth several hours after surgery. The mass was irregularly shaped, brownish, and fragile with a foul odor. An aspergillosis fungal ball was diagnosed pathologically. RESULTS: Postoperative PNS CT showed no residual fungall ball. During 9 months of follow-up, the patient showed good nasolacrimal duct passage. There was no evidence of fungal infection on nasal endoscopic finding. CONCLUSIONS: To our knowledge, this is the first report of a fungal ball spontaneously occurring after dacryocystorhinostomy. Although this scarcely develops, it should be included in the differential diagnosis of a mass after dacryocystorhinostomy.
Key Words: Dacryocystorhinostomy;Fungall ball;Mass


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