실리콘관 삽입술로 치료한 후천 눈물주머니낭종 1예

• 영문명: A Case of Acquired Dacryocystocele Treated by Lacrimal Silicone Intubation
• 발행기관: 대한안과학회
• 저자명: 반민섭 김미정 곽상인 ,Min Seop Pahn, MD, Mi Jeung Kim, MD, Sang In Khwarg, MD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number2, 333~337쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.02.15

영문 초록

Purpose: To report a case of an acquired dacryocystocele successfully treated with bicanalicular silicone intubation and to review relating literature. Case summary: A 17-year-old girl visited our clinic with tearing of both eyes since birth and a mass on the right medial canthal area for 2 years. A firm, non-tender mass with a well-demarcated border was palpated in the subcutaneous level just inferior to the right medial canthal ligament. Lacrimal irrigation via the lower punctums showed reflux through the opposite punctums without nasal passage in both of her eyes. Computed tomographic scan showed a widening of the right lacrimal sac fossa and bony nasolacrimal canal and a 16 × 18 mm sized cyst-like mass in the right lacrimal sac. The patient was diagnosed with right acquired dacryocystocele associated with bilateral congenital nasolacrimal duct obstructions. After opening of the obstructed common canaliculus using a fine lacrimal probe, silicone intubation was performed. The tearing symptom improved and the mass disappeared during the subsequent follow-up period of 1 year. Conclusions: When only accompanied by distal nasolacrimal duct obstruction, acquired dacryocystocele can be inferred to be associated with congenital nasolacrimal duct obstruction. Subsequently, bicanalicular silicone intubation can be considered as a treatment of choice. J Korean Ophthalmol Soc 2012;53(2):333-337

키워드

Congenital nasolacrimal duct obstruction, Dacryocystocele, Silicone intubation