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Two cases of giant dacryolith detected by dacryoendoscopy Sachiko Yoshida 1 , Miou Hirose 1 1Dept of Ophthalmol,Shizuoka City Hosp pp.1065-1068
Published Date 2011/7/15
DOI https://doi.org/10.11477/mf.1410103742
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Abstract. Purpose:To report giant dacryolith in two cases of obstruction of nasolacrimal duct detected by dacryoendoscopic observation. Cases:Both were males aged 38 and 54 years respectively. Both had unilateral epiphora with discharge for 2 years. Findings:The lacrimal sac area showed tenderness and swelling. Forced irrigation showed backflow of putrid mass. Dacryolith was observed in the lacrimal sac by dacryoendoscopy. It was removed during extranasal dacryocystorhinostomy. Its diameter was 25 mm and 32 mm respectively. Pseudomonas aeruginosa was cultured in one case and Escherichia coli in the other. There has been no recurrence in the two cases. Conclusion:Dacryoendoscopy allows detailed observation of the lacrimal sac and nasolacrimal sac and may lead to detection of dacryolith located in the lacrimal sac.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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