A ductule dacryolith misdiagnosed as refractory conjunctivitis: a case report
Abstract Purpose Dacryoliths located in the temporal canthus were relatively rare. We presented a case of giant ductule dacryolith associated with Haemophilus influenzae and described the clinical features. Case presentation A female patient presented persistent secretion in the lateral canthal regi...
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| Format: | Article |
| Language: | English |
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BMC
2025-08-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-025-04287-2 |
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| author | Shang Li Yuyan Huang Yang Zhang Xu zhang Ying Jie |
| author_facet | Shang Li Yuyan Huang Yang Zhang Xu zhang Ying Jie |
| author_sort | Shang Li |
| collection | DOAJ |
| description | Abstract Purpose Dacryoliths located in the temporal canthus were relatively rare. We presented a case of giant ductule dacryolith associated with Haemophilus influenzae and described the clinical features. Case presentation A female patient presented persistent secretion in the lateral canthal region of the right eye. Surgical exploration was performed, and bacterial culture, tissue pathology analysis, and magnetic resonance imaging (MRI) examination were completed. A huge ductule dacryolith was found in the temporal canthus, which was composed of amorphous acidic substances. The bacterial culture results showed infection with Haemophilus influenzae, and the postoperative MRI results showed no signs of inflammation around the lacrimal gland. The patient's symptoms disappeared immediately after the operation. Conclusion Ductule dacryoliths are very rare but worth considering when a patient presents with unilateral lateral refractory conjunctivitis. |
| format | Article |
| id | doaj-art-4af24ff2928545d0af67ade1d02cee47 |
| institution | Kabale University |
| issn | 1471-2415 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj-art-4af24ff2928545d0af67ade1d02cee472025-08-20T03:42:30ZengBMCBMC Ophthalmology1471-24152025-08-012511310.1186/s12886-025-04287-2A ductule dacryolith misdiagnosed as refractory conjunctivitis: a case reportShang Li0Yuyan Huang1Yang Zhang2Xu zhang3Ying Jie4Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Tongren Hospital, Beijing Tongren Eye Center, Capital Medical UniversityBeijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Tongren Hospital, Beijing Tongren Eye Center, Capital Medical UniversityBeijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Tongren Hospital, Beijing Tongren Eye Center, Capital Medical UniversityBeijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Tongren Hospital, Beijing Tongren Eye Center, Capital Medical UniversityBeijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Tongren Hospital, Beijing Tongren Eye Center, Capital Medical UniversityAbstract Purpose Dacryoliths located in the temporal canthus were relatively rare. We presented a case of giant ductule dacryolith associated with Haemophilus influenzae and described the clinical features. Case presentation A female patient presented persistent secretion in the lateral canthal region of the right eye. Surgical exploration was performed, and bacterial culture, tissue pathology analysis, and magnetic resonance imaging (MRI) examination were completed. A huge ductule dacryolith was found in the temporal canthus, which was composed of amorphous acidic substances. The bacterial culture results showed infection with Haemophilus influenzae, and the postoperative MRI results showed no signs of inflammation around the lacrimal gland. The patient's symptoms disappeared immediately after the operation. Conclusion Ductule dacryoliths are very rare but worth considering when a patient presents with unilateral lateral refractory conjunctivitis.https://doi.org/10.1186/s12886-025-04287-2Ductule dacryolithHaemophilus influenzaeRefractory conjunctivitisTemporal canthus |
| spellingShingle | Shang Li Yuyan Huang Yang Zhang Xu zhang Ying Jie A ductule dacryolith misdiagnosed as refractory conjunctivitis: a case report BMC Ophthalmology Ductule dacryolith Haemophilus influenzae Refractory conjunctivitis Temporal canthus |
| title | A ductule dacryolith misdiagnosed as refractory conjunctivitis: a case report |
| title_full | A ductule dacryolith misdiagnosed as refractory conjunctivitis: a case report |
| title_fullStr | A ductule dacryolith misdiagnosed as refractory conjunctivitis: a case report |
| title_full_unstemmed | A ductule dacryolith misdiagnosed as refractory conjunctivitis: a case report |
| title_short | A ductule dacryolith misdiagnosed as refractory conjunctivitis: a case report |
| title_sort | ductule dacryolith misdiagnosed as refractory conjunctivitis a case report |
| topic | Ductule dacryolith Haemophilus influenzae Refractory conjunctivitis Temporal canthus |
| url | https://doi.org/10.1186/s12886-025-04287-2 |
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