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A Lacrimal Punctal Keratinizing Cyst of the Lower Lid
아래눈꺼풀 눈물점에 발생한 각화 낭종
JKOS 2019 Jul;60(7):692-5
Published online July 15, 2019;
Copyright © 2019 The Korean Ophthalmological Society.
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Tae-Seen Kang, MD, Yeon-Hee Lee, MD, PhD, Sung Bok Lee, MD, PhD

Department of Ophthalmology, Chungnam National University College of Medicine, Daejeon, Korea
충남대학교 의과대학 안과학교실
Received November 8, 2018; Revised November 20, 2018; Accepted June 20, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: We report an unusual case of a keratinizing cyst on the lacrimal punctum.
Case summary: A 49-year-old female presented with an outpouching punctal mass at the left lower lid that occurred a week prior to her visit. Histopathological examination revealed a cyst filled with keratin arranged in lamina and surrounding the bacterial colony. The epithelial wall was composed of multilaminar, keratinizing squamous epithelium without goblet cells. The features were consistent with a keratinizing cyst. There was no recurrence at 4 months after the excision, and the punctum was patent.
Conclusions: Keratinizing cyst should be considered as a differential diagnosis of the cystic mass of the punctum. Because it has an excellent prognosis after surgical resection, complete resection should be performed if a keratinizing cyst is suspected.
Keywords : Keratinizing cyst, Lacrimal punctum


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