A Case of Fungal Ball Causing Acute Dacryocystitis.

Hwang, You Sook; Yang, Hee Jung; Paik, Ji Sun; Yang, Suk Woo

doi:2017.58.4.455

J Korean Ophthalmol Soc > Volume 58(4); 2017 > Article

Case Report

Journal of the Korean Ophthalmological Society 2017;58(4):455-458.
DOI: https://doi.org/10.3341/jkos.2017.58.4.455 Published online April 15, 2017.

A Case of Fungal Ball Causing Acute Dacryocystitis.

You Sook Hwang, Hee Jung Yang, Ji Sun Paik, Suk Woo Yang

Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. yswoph@hanmail.net

급성 눈물주머니염으로 시행한 눈물주머니코안연결술에서 발견된 진균구 1예

황유숙⋅양희정⋅백지선⋅양석우

가톨릭대학교 의과대학 서울성모병원 안과 및 시과학교실

Correspondence: Suk-Woo Yang, MD, PhD
Email: yswoph@hanmail.net

Received: 17 November 2016 • Revised: 1 February 2017 • Accepted: 22 March 2017

Abstract

PURPOSE
We report a case of fungal ball after Endoscopic Dacryocystorhinostomy (DCR) in a 40-year-old female patient. CASE SUMMARY: A 40-year-old female patient was admitted to our hospital for left lower eyelid tenderness and bloody discharge from the lacrimal punctum. During a planned endoscopic DCR, the sac was opened after the osteotomy, and 2 fungal balls were found in the lacrimal sac. The masses were 7 × 5 mm and, 9 × 5 mm sized, irregularly shaped, and red in color. Aspergillus fumigatus was diagnosed pathologically. Postoperative paranasal sinus magnetic resonance imaging showed no residual fungal ball. During follow-up, the patient showed patent rhinostomy opening, and there was no evidence of fungal infection on nasal endoscopic finding. CONCLUSIONS: Although Aspergillus fumigatus is a rare cause of canalicular obstruction, fungal ball development in the lacrimal sac can cause acute dacryocystitis.

Key Words: Acute dacryocystitis;Aspergillus fumigatus;Dacryocystorhinostomy (DCR);Fungal ball