Pediatric dacryolith masquerading as congenital nasolacrimal duct obstruction
Purpose: To report a rare case of a pediatric dacryolith masquerading as congenital nasolacrimal duct obstruction (CNLDO). Observations: A two-year-old male child presented with history of intermittent epiphora and discharge since the age of six months. Clinical evaluation demonstrated raised tear m...
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Elsevier
2024-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993624001270 |
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| author | Upasana Pokal Ashish Ranjan Mohammad Javed Ali |
| author_facet | Upasana Pokal Ashish Ranjan Mohammad Javed Ali |
| author_sort | Upasana Pokal |
| collection | DOAJ |
| description | Purpose: To report a rare case of a pediatric dacryolith masquerading as congenital nasolacrimal duct obstruction (CNLDO). Observations: A two-year-old male child presented with history of intermittent epiphora and discharge since the age of six months. Clinical evaluation demonstrated raised tear meniscus height and delayed fluorescein dye disappearance test in the right eye. Lacrimal irrigation of the right eye under general anesthesia demonstrated 90 % regurgitation (subjectively) of mucoid fluid with a hard stop. Nasal endoscopy examination demonstrated a dacryolith obstructing the opening of the nasolacrimal duct (NLD) in the inferior meatus. The dacryolith was teased out of the NLD and following its removal the lacrimal irrigation was freely patent. At six-months post operative follow up, epiphora resolved and the child was asymptomatic. Conclusions and importance: While cases of canaliculitis is uncommon in pediatric age group, it is rare to find a NLD dacryolith in a toddler. To the best of the authors’ knowledge, there are few prior reports on pediatric NLD dacryolith masquerading as CNLDO in a toddler (1–3 years). |
| format | Article |
| id | doaj-art-b441aab8fc614a8bba27fb1229c6d8df |
| institution | OA Journals |
| issn | 2451-9936 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj-art-b441aab8fc614a8bba27fb1229c6d8df2025-08-20T02:37:05ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-12-013610211710.1016/j.ajoc.2024.102117Pediatric dacryolith masquerading as congenital nasolacrimal duct obstructionUpasana Pokal0Ashish Ranjan1Mohammad Javed Ali2Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, 34, IndiaGovindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, 34, IndiaCorresponding author.; Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, 34, IndiaPurpose: To report a rare case of a pediatric dacryolith masquerading as congenital nasolacrimal duct obstruction (CNLDO). Observations: A two-year-old male child presented with history of intermittent epiphora and discharge since the age of six months. Clinical evaluation demonstrated raised tear meniscus height and delayed fluorescein dye disappearance test in the right eye. Lacrimal irrigation of the right eye under general anesthesia demonstrated 90 % regurgitation (subjectively) of mucoid fluid with a hard stop. Nasal endoscopy examination demonstrated a dacryolith obstructing the opening of the nasolacrimal duct (NLD) in the inferior meatus. The dacryolith was teased out of the NLD and following its removal the lacrimal irrigation was freely patent. At six-months post operative follow up, epiphora resolved and the child was asymptomatic. Conclusions and importance: While cases of canaliculitis is uncommon in pediatric age group, it is rare to find a NLD dacryolith in a toddler. To the best of the authors’ knowledge, there are few prior reports on pediatric NLD dacryolith masquerading as CNLDO in a toddler (1–3 years).http://www.sciencedirect.com/science/article/pii/S2451993624001270DacryolithLacrimal sacLacrimalCongenital nasolacrimal duct obstructionCongenital |
| spellingShingle | Upasana Pokal Ashish Ranjan Mohammad Javed Ali Pediatric dacryolith masquerading as congenital nasolacrimal duct obstruction American Journal of Ophthalmology Case Reports Dacryolith Lacrimal sac Lacrimal Congenital nasolacrimal duct obstruction Congenital |
| title | Pediatric dacryolith masquerading as congenital nasolacrimal duct obstruction |
| title_full | Pediatric dacryolith masquerading as congenital nasolacrimal duct obstruction |
| title_fullStr | Pediatric dacryolith masquerading as congenital nasolacrimal duct obstruction |
| title_full_unstemmed | Pediatric dacryolith masquerading as congenital nasolacrimal duct obstruction |
| title_short | Pediatric dacryolith masquerading as congenital nasolacrimal duct obstruction |
| title_sort | pediatric dacryolith masquerading as congenital nasolacrimal duct obstruction |
| topic | Dacryolith Lacrimal sac Lacrimal Congenital nasolacrimal duct obstruction Congenital |
| url | http://www.sciencedirect.com/science/article/pii/S2451993624001270 |
| work_keys_str_mv | AT upasanapokal pediatricdacryolithmasqueradingascongenitalnasolacrimalductobstruction AT ashishranjan pediatricdacryolithmasqueradingascongenitalnasolacrimalductobstruction AT mohammadjavedali pediatricdacryolithmasqueradingascongenitalnasolacrimalductobstruction |