Masquerades of Acquired Dacryocystocele
Nandini Bothra, Richa Dharap Wagh, Mohammad Javed Ali Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad 500034, Telangana, IndiaCorrespondence: Nandini BothraGovindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Road No. 2, Banjara Hills, Hyderabad 500...
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oai:doaj.org-article:737826e58b3a4755bc9a59225d632b892021-12-02T12:57:38ZMasquerades of Acquired Dacryocystocele1177-5483https://doaj.org/article/737826e58b3a4755bc9a59225d632b892020-07-01T00:00:00Zhttps://www.dovepress.com/masquerades-of-acquired-dacryocystocele-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Nandini Bothra, Richa Dharap Wagh, Mohammad Javed Ali Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad 500034, Telangana, IndiaCorrespondence: Nandini BothraGovindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Road No. 2, Banjara Hills, Hyderabad 500034, Telangana, IndiaEmail nan_bothra@yahoo.comIntroduction: Dacryocystocele can be congenital or acquired and acute or chronic, based on underlying pathology. An inferomedial anterior orbital mass lesion can masquerade an acquired dacryocystocele with similar symptomatology; however, the treatment varies. Hence, a careful examination of the swelling to differentiate these masquerades is needed to ensure rightful treatment.Patients and Methods: A retrospective, interventional study was performed on consecutive patients from January 2017 to October 2019 who presented with swelling in the lacrimal sac area of varying durations. They underwent computed tomography scans followed by surgical intervention. Their relation to the lacrimal drainage apparatus was explored.Results: During the study period, 5 such patients were found in the records. The radiology was consistent with anterior orbital mass lesions, not involving the lacrimal sac. Histopathology after surgical excision was consistent with three of the lesions being dermoid cysts, one was cavernous hemangioma and one was a solitary fibrous tumor.Conclusion: Inferomedial anterior orbital mass lesions can present as masquerades of acquired dacrycystoceles. Careful examination and high degree of suspicion is needed to distinguish these lesions and ensure correct treatment.Keywords: dacryology, dacryocystocele, lacrimal, medial orbital dermoid, solitary fibrous tumor of the lacrimal sacBothra NWagh RDAli MJDove Medical Pressarticledacryology dacryocystocele lacrimal medial orbital dermoid solitary fibrous tumor of the lacrimal sacOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 1855-1858 (2020) |
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dacryology dacryocystocele lacrimal medial orbital dermoid solitary fibrous tumor of the lacrimal sac Ophthalmology RE1-994 |
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dacryology dacryocystocele lacrimal medial orbital dermoid solitary fibrous tumor of the lacrimal sac Ophthalmology RE1-994 Bothra N Wagh RD Ali MJ Masquerades of Acquired Dacryocystocele |
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Nandini Bothra, Richa Dharap Wagh, Mohammad Javed Ali Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad 500034, Telangana, IndiaCorrespondence: Nandini BothraGovindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Road No. 2, Banjara Hills, Hyderabad 500034, Telangana, IndiaEmail nan_bothra@yahoo.comIntroduction: Dacryocystocele can be congenital or acquired and acute or chronic, based on underlying pathology. An inferomedial anterior orbital mass lesion can masquerade an acquired dacryocystocele with similar symptomatology; however, the treatment varies. Hence, a careful examination of the swelling to differentiate these masquerades is needed to ensure rightful treatment.Patients and Methods: A retrospective, interventional study was performed on consecutive patients from January 2017 to October 2019 who presented with swelling in the lacrimal sac area of varying durations. They underwent computed tomography scans followed by surgical intervention. Their relation to the lacrimal drainage apparatus was explored.Results: During the study period, 5 such patients were found in the records. The radiology was consistent with anterior orbital mass lesions, not involving the lacrimal sac. Histopathology after surgical excision was consistent with three of the lesions being dermoid cysts, one was cavernous hemangioma and one was a solitary fibrous tumor.Conclusion: Inferomedial anterior orbital mass lesions can present as masquerades of acquired dacrycystoceles. Careful examination and high degree of suspicion is needed to distinguish these lesions and ensure correct treatment.Keywords: dacryology, dacryocystocele, lacrimal, medial orbital dermoid, solitary fibrous tumor of the lacrimal sac |
format |
article |
author |
Bothra N Wagh RD Ali MJ |
author_facet |
Bothra N Wagh RD Ali MJ |
author_sort |
Bothra N |
title |
Masquerades of Acquired Dacryocystocele |
title_short |
Masquerades of Acquired Dacryocystocele |
title_full |
Masquerades of Acquired Dacryocystocele |
title_fullStr |
Masquerades of Acquired Dacryocystocele |
title_full_unstemmed |
Masquerades of Acquired Dacryocystocele |
title_sort |
masquerades of acquired dacryocystocele |
publisher |
Dove Medical Press |
publishDate |
2020 |
url |
https://doaj.org/article/737826e58b3a4755bc9a59225d632b89 |
work_keys_str_mv |
AT bothran masqueradesofacquireddacryocystocele AT waghrd masqueradesofacquireddacryocystocele AT alimj masqueradesofacquireddacryocystocele |
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