DR. APEKSHA KATARIA

DR. SHREYA SHAH, DR.MEHUL SHAH, DR. VEDANT RAJORIYA

Abstract

INTRODUCTION:DACRYOCELE IS FORMED WHEN A DISTAL BLOCKAGE OF LACRIMAL SAC CAUSES DISTENTION OF SAC,CLOSES OFF COMMON CANALICULUS.THIS RESTRICTS RETROGRADE DISCHARGE OF ACCUMULATED SECRETIONS AND PREVENTS DECOMPRESSION OF SAC.

METHOD:PRESENTING A CASE OF 30/M, CAME FOR ARTIFICIAL EYE, ON EXAMINATION OD WAS NORMAL WITH VA 6/6 AND OS WITH VA OF NOPL, LAGOPHTHALMOS WITH PROTRUSION OF ARTIFICIAL EYE WITH OCULAR MOVEMENTS PRESENT IN UP & DOWN GAZE WITH NO DISCHARGE,DIAGNOSTIC QUERY OF DACRYOCELE,INCISION AND DRAINAGE WAS DONE WITH 24G NEEDLE, DRAIN 20ML FLUID, LATER 8ML FLUID SAMPLE WAS COLLECTED VIA ASPIRATION CYTOLOGY,KOH MOUNT RULED OUTINFECTIOUS CAUSE,NO EVIDENCE OF FUNGAL HYPHAE, CULTURE -VE.LATER 15ML FLUID WAS DRAINED WITH 24G NEEDLE IN ASEPTIC CONDITIONS,CYST ALONG WITH EPITHELIASED WALL REMOVED, RUDIMENTARY EYE FOUND, ENUCLEATION DONE.

CONCLUSIONS:A RARE CASE OF DACRYOCELE IN CONNECTION WITH IMPLANTED CYST. DOCTORS SHOULD INCLUDE THIS IN DIFFERENTIAL DIAGNOSIS OF ORBITAL MASSES.