Dacryolithiasis

The mechanism of dacryolith formation is obscure. Divisions of operative vs nonoperative, calcified vs fungal, and amino acid vs nonamino acid are reported but do nothing to elucidate their etiology. Jones' report on nonmycotic casts in northwestern climates, clearly points to more than one mechanism for formation. Fortunately, dacryolith formation is rare when compared to the incidence of lacrimal system inflammation. This case report is presented to emphasize the highly variable circumstances that surround dacryolithiasis.