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KMID : 0360220170580040455
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Journal of the Korean Ophthalmological Society
2017 Volume.58 No. 4 p.455 ~ p.458
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A Case of Fungal Ball Causing Acute Dacryocystitis
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Hwang You-Sook
Yang Hee-Jung
Paik Ji-Sun
Yang Suk-Woo
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Abstract
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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.
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KEYWORD
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Acute dacryocystitis, Aspergillus fumigatus, Dacryocystorhinostomy (DCR), Fungal ball
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