J Korean Ophthalmol Soc > Volume 55(6); 2014 > Article
Journal of the Korean Ophthalmological Society 2014;55(6):898-901.
DOI: https://doi.org/10.3341/jkos.2014.55.6.898    Published online June 15, 2014.
A Case of Canaliculocele Treated with Punctoplasty and Marsupialization.
Kwan Hyuk Cho, Mi Jung Kwon, Min Joung Lee
1Department of Ophthalmology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. tweeti2@hanmail.net
2Department of Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.
눈물점성형술과 낭종조대술로 치료한 눈물소관낭종 1예
조관혁1⋅권미정2⋅이민정1
Department of Ophthalmology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine1, Anyang, Korea
Department of Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine2, Anyang, Korea
Abstract
PURPOSE
Canaliculocele is a rare cause of eyelid mass which is formed by dilation of the canaliculus. We introduce a case of canaliculocele treated with punctoplasty and marsupialization. CASE SUMMARY: A 35-year-old woman visited our clinic complaining of a right medial upper eyelid mass. It started 3 months ago and had the wax and wane feature. On slit lamp examination, cystic lesion was visible in the medial area of the right upper eyelid, and the punctum was obscure. Right upper canaliculus was not shown in dacryocystography. One-snip punctoplasty was performed for the diagnosis, and turbid contents were drained leading to collapse of the cyst. After diagnosis of canaliculocele, marsupialization was added by excision of the posterior wall of the mass. On histopathologic examination, the cystic wall was composed of nonkeratinized squamous epithelium with an attenuated superficial cell layer. The patient healed without recurrence of a cyst after 6 months of follow up.
Key Words: Canaliculocele;Marsupialization;Medial canthal mass


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