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Pigmented, Birefringent Material Causing Nasolacrimal Duct Obstruction.

Angela L Xu1, César A Briceño2, Vivian Lee2

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Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
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Summary

Epiphora (watery eye) can result from nasolacrimal duct obstruction caused by cosmetic particles. Histopathology is crucial to distinguish cosmetic-induced inflammation from melanoma.

Keywords:
CosmeticsEpiphoraGranulomatous inflammationNasolacrimal duct obstruction

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Area of Science:

  • Ophthalmology
  • Pathology

Background:

  • Epiphora, or watery eye, is a common condition.
  • Nasolacrimal duct obstruction (NLDO) is a frequent cause of epiphora.
  • Distinguishing between innate melanocytic processes and exogenous causes of NLDO is clinically important.

Purpose of the Study:

  • To present a case of epiphora caused by cosmetic-induced foreign bodies in the nasolacrimal duct.
  • To highlight the importance of histopathological examination in diagnosing the cause of NLDO.

Main Methods:

  • Case report of a woman presenting with epiphora.
  • Histopathological analysis of tissue from the nasolacrimal duct.
  • Identification of pigmented, birefringent foreign bodies consistent with cosmetics.

Main Results:

  • Complete nasolacrimal duct obstruction was diagnosed.
  • Granulomatous inflammation was observed around foreign bodies.
  • Foreign bodies were identified as consistent with cosmetic particles.

Conclusions:

  • Cosmetic particles can cause granulomatous inflammation leading to nasolacrimal duct obstruction and epiphora.
  • Patient history and histopathology are essential for accurate diagnosis, differentiating cosmetic-induced issues from conditions like melanoma.