A case report of chronic dacryocystitis caused by nasal stones

A case report of chronic dacryocystitis caused by nasal stones

Abstract Background This paper reports a case of chronic dacryocystitis due to nasal stones. Case presentation 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. Antibio...

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Bibliographic Details
Published in:BMC ophthalmology Vol. 23; no. 1; pp. 1 - 445
Main Authors: Huo, Yandi, Li, Luoxiang, Mo, Ya, Guo, Sirui
Format: Journal Article
Language:English
Published: London BioMed Central Ltd 06-11-2023
BioMed Central
BMC
Subjects:
Acids
Antibiotics
Case Report
Case reports
Chronic dacryocystitis
Clinical medicine
Computed tomography
CT imaging
Dacryocystitis
Endoscopy
Epidemiology
Foreign bodies
Gatifloxacin
Gram-positive bacteria
Hospitals
Hypertrophy
Lacrimal CT angiography
Lacrimal gland and Nasolacrimal duct
Maxillary osteonecrosis
Nasal calculi
Necrosis
Nose
Ophthalmology
Patients
Rhinitis
Sinusitis
Surgery
Zoledronic acid
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Summary:Abstract Background This paper reports a case of chronic dacryocystitis due to nasal stones. Case presentation 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 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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1471-2415
1471-2415
DOI:10.1186/s12886-023-03185-9