DR. RUPALI BARNWAL

, 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 OF 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, WITH DIAGNOSTIC QUERY OF DACRYOCELE, I&D WAS DONE WITH 24G NEEDLE TO DRAIN 20ML FLUID, LATER 8ML FLUID SAMPLE WAS COLLECTED VIA ASPIRATION CYTOLOGY,KOH MOUNT GAVE, NO EVIDENCE OF FUNGAL HYPHAE, CULTURE NEGATIVE LATER 15ML FLUID WAS DRAINED WITH 24G NEEDLE IN ASEPTIC CONDITIONS, ORBITOTOMY REVEALED CONJUNCTIVAL CYSTIC CAVITY WITH RUDIMENTARY EYE WHICH WAS ENUCLEATED.

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