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Updated: Jun 29, 2026
07:30
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
[Chronic dacryocystitis 24 years after dacryocystorhinostomy?]
S Heinzelmann1, J Neuburger, H Mittelviefhaus
1Universitäts-Augenklinik Freiburg, Freiburg im Breisgau, Deutschland. sonja.heinzelmann@uniklinik-freiburg.de
Summary
A rare extraorbital hemangiopericytoma caused recurrent eyelid swelling 24 years after dacryocystorhinostomy. Surgical removal with clear margins resulted in a 4-year recurrence-free outcome for this benign tumor.
Area of Science:
- Ophthalmology
- Oncology
- Pathology
Background:
- Dacryocystorhinostomy is a surgical procedure to restore tear drainage.
- Recurrent swelling in the medial lower eyelid can indicate underlying pathology.
Observation:
- A 50-year-old woman presented with recurrent medial lower eyelid swelling and inflammation.
- Symptoms appeared 24 years post-right-sided dacryocystorhinostomy.
Findings:
- A tumor was surgically excised in two stages with histological confirmation of clear margins.
- The tumor was diagnosed as an extraorbital hemangiopericytoma.
- No evidence of malignancy was found.
Implications:
- Extraorbital hemangiopericytoma is a rare, benign tumor that can present long after initial surgery.
- Complete surgical excision with margin control is crucial for successful treatment.
- Long-term follow-up confirmed a favorable prognosis with no recurrence.
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