ABSTRACT
ABSTRACT We present two patients with dacryoliths and patent lacrimal drainage with intermittent tearing and without infection. Dacryoliths can be present in the lacrimal sac or lacrimal duct without acute or chronic inflammation. In these cases, we believe dacryolith formation was a causative factor of intermittent epiphora even with a patent drainage system, and we propose that dacryoliths and even fungal colonization formation may be the first event before dacryocystitis and should be considered as a cause of epiphora.
RESUMO Apresentamos dois pacientes com dacriolitíase e drenagem lacrimal patente com lacrimejamento intermitente, sem infecção. Os dacriolitos podem estar presentes no saco lacrimal ou duto lacrimal, sem inflamação aguda ou crônica. Neste caso nós acreditamos que a dacriolitíase foi um fator causador da epífora intermitente mesmo com sistema de drenagem patente e propomos que dacriolitíase e até mesmo a colonização fúngica pode ser o primeiro evento antes dacriocistite, e deve ser adicionada como uma das causas de epífora.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Calculi/complications , Lacrimal Apparatus/microbiology , Lacrimal Apparatus Diseases/complications , Tears/metabolism , Eye Infections, Fungal/complications , Dacryocystitis/complications , Dacryocystitis/microbiology , Lacrimal Apparatus/physiopathologySubject(s)
Female , Humans , Infant, Newborn , Choanal Atresia/diagnosis , Cysts/congenital , Lacrimal Apparatus Diseases/congenital , Nasolacrimal Duct/abnormalities , Choanal Atresia/complications , Choanal Atresia/surgery , Cysts/complications , Cysts/diagnosis , Cysts/surgery , Lacrimal Apparatus Diseases/complications , Lacrimal Apparatus Diseases/diagnosis , Lacrimal Apparatus Diseases/surgery , Nasolacrimal Duct/surgery , Tomography, X-Ray ComputedABSTRACT
The authors present a family with three children affected with triple A syndrome--one had died, one was saved by diagnosis and timely therapy, and one was born after the diagnosis in the second child. The gene for the syndrome has been cloned and genetic counseling should be offered to these families.
Subject(s)
Adrenal Cortex Function Tests , Adrenal Insufficiency/complications , Child, Preschool , Esophageal Achalasia/complications , Female , Humans , Hyperpigmentation/etiology , Infant , Lacrimal Apparatus Diseases/complications , Male , Medical History Taking , Pedigree , Siblings , Syndrome , Treatment OutcomeABSTRACT
An infant presented with persistent epiphora after successful probing of the lacrimal system. Examination of the nose showed a cystic structure occluding lower portion of the lacrimal drainage system. In cases of recurrent obstruction, nasal examination and endoscopic marsupialization may help guide the clinician towards the most appropriate treatment.