Lacrimal canaliculitis related to chronic rhinosinusitis with nasal polyps: Case report and literature review

This paper reports an unusual case of recurrent canaliculitis who had a long history of chronic rhinosinusitis with nasal polyps. A 74-year-old woman complained of recurrent redness, purulent discharge, and occasional tearing of the left eye for 1 year. She has a 40-year untreated sinusitis history,...

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Main Authors: Chen Chen, Yan Shen, Yanting Yang, Yuru Gao, Yang Bian
Format: Article
Language:English
Published: SAGE Publishing 2025-05-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X251340479
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author Chen Chen
Yan Shen
Yanting Yang
Yuru Gao
Yang Bian
author_facet Chen Chen
Yan Shen
Yanting Yang
Yuru Gao
Yang Bian
author_sort Chen Chen
collection DOAJ
description This paper reports an unusual case of recurrent canaliculitis who had a long history of chronic rhinosinusitis with nasal polyps. A 74-year-old woman complained of recurrent redness, purulent discharge, and occasional tearing of the left eye for 1 year. She has a 40-year untreated sinusitis history, with recurrent mucopurulent rhinorrhea, nasal obstruction and hyposmia, and loss of smell for 2 years. The patient’s various symptoms, such as epiphora, purulent discharge, rhinorrhea, nasal obstruction, and anosmia, poorly responded to antibiotics and canaliculotomy. However, relief came from the unintentional usage of systemic corticosteroids. Canaliculitis is a rare form of inflammation involving the proximal lacrimal drainage system. Unfortunately, it is often misdiagnosed, has frequent recurrences, and fails to respond to therapy. This case highlights the importance of medical history, lacrimal examinations, and regular therapy in managing recurrent canaliculitis. For those canaliculitis patients with nasal symptoms, simultaneous treatment of nasal-related disorders should be considered.
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issn 2050-313X
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publisher SAGE Publishing
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spelling doaj-art-3f9aeebf690e44b3917207b83dd112732025-08-20T01:50:45ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2025-05-011310.1177/2050313X251340479Lacrimal canaliculitis related to chronic rhinosinusitis with nasal polyps: Case report and literature reviewChen Chen0Yan Shen1Yanting Yang2Yuru Gao3Yang Bian4Department of Ophthalmology, The First People’s Hospital of Changzhou, Changzhou, Jiangsu, ChinaDepartment of Otorhinolaryngology, The First People’s Hospital of Changzhou, Changzhou, Jiangsu, ChinaDepartment of Ophthalmology, The First People’s Hospital of Changzhou, Changzhou, Jiangsu, ChinaDepartment of Ophthalmology, The First People’s Hospital of Changzhou, Changzhou, Jiangsu, ChinaDepartment of Ophthalmology, The First People’s Hospital of Changzhou, Changzhou, Jiangsu, ChinaThis paper reports an unusual case of recurrent canaliculitis who had a long history of chronic rhinosinusitis with nasal polyps. A 74-year-old woman complained of recurrent redness, purulent discharge, and occasional tearing of the left eye for 1 year. She has a 40-year untreated sinusitis history, with recurrent mucopurulent rhinorrhea, nasal obstruction and hyposmia, and loss of smell for 2 years. The patient’s various symptoms, such as epiphora, purulent discharge, rhinorrhea, nasal obstruction, and anosmia, poorly responded to antibiotics and canaliculotomy. However, relief came from the unintentional usage of systemic corticosteroids. Canaliculitis is a rare form of inflammation involving the proximal lacrimal drainage system. Unfortunately, it is often misdiagnosed, has frequent recurrences, and fails to respond to therapy. This case highlights the importance of medical history, lacrimal examinations, and regular therapy in managing recurrent canaliculitis. For those canaliculitis patients with nasal symptoms, simultaneous treatment of nasal-related disorders should be considered.https://doi.org/10.1177/2050313X251340479
spellingShingle Chen Chen
Yan Shen
Yanting Yang
Yuru Gao
Yang Bian
Lacrimal canaliculitis related to chronic rhinosinusitis with nasal polyps: Case report and literature review
SAGE Open Medical Case Reports
title Lacrimal canaliculitis related to chronic rhinosinusitis with nasal polyps: Case report and literature review
title_full Lacrimal canaliculitis related to chronic rhinosinusitis with nasal polyps: Case report and literature review
title_fullStr Lacrimal canaliculitis related to chronic rhinosinusitis with nasal polyps: Case report and literature review
title_full_unstemmed Lacrimal canaliculitis related to chronic rhinosinusitis with nasal polyps: Case report and literature review
title_short Lacrimal canaliculitis related to chronic rhinosinusitis with nasal polyps: Case report and literature review
title_sort lacrimal canaliculitis related to chronic rhinosinusitis with nasal polyps case report and literature review
url https://doi.org/10.1177/2050313X251340479
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AT yantingyang lacrimalcanaliculitisrelatedtochronicrhinosinusitiswithnasalpolypscasereportandliteraturereview
AT yurugao lacrimalcanaliculitisrelatedtochronicrhinosinusitiswithnasalpolypscasereportandliteraturereview
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