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Dacryocystitis in a patient with Samter's triad.

Ahmad Abdel-Aty¹, Andrew Jin¹, R Peter Manes²

¹Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut, USA.

Oman Journal of Ophthalmology

|August 8, 2022

Summary

Samter's triad, or aspirin-exacerbated respiratory disease, can cause inflammatory nasolacrimal duct obstruction. This case highlights the link between this condition and recurrent dacryocystitis.

Keywords:

Aspirin sensitivity Samter's triad aspirin-exacerbated respiratory disease asthma dacryocystitis eosinophilic inflammation nasal polyposis nasolacrimal duct obstruction

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Area of Science:

Otolaryngology
Ophthalmology
Immunology

Background:

Samter's triad, characterized by asthma, nasal polyposis, and aspirin intolerance, is an immune-mediated condition.
Recurrent dacryocystitis involves inflammation of the lacrimal sac, potentially leading to nasolacrimal duct obstruction.

Observation:

A 36-year-old woman with Samter's triad presented with recurrent dacryocystitis.
Surgical pathology of the lacrimal sac revealed respiratory fibrosis with chronic inflammation and eosinophils.

Findings:

The pathological findings in the lacrimal sac are consistent with respiratory-type inflammation seen in Samter's triad.
This suggests a potential link between Samter's triad and inflammatory nasolacrimal duct obstruction.

Implications:

Samter's triad should be considered in patients with recurrent dacryocystitis and respiratory symptoms.
Understanding this association may improve diagnosis and management of nasolacrimal duct obstruction in affected individuals.