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[Tear-sac concretions (author's transl)]
Abstract:
Report is given on three cases of dacryolithiasis. All cases were demonstrated by dacryocystography. Two dacryoliths were obtained at operation, another one by spontaneous passage through the nose. Histopathological examination of the dacryoliths in two cases revealed the presence of a mycotic infection, most likely with Candida albicans. The casts were found to be composed of layers of neutral and acid mucoproteids and lipids, accompanied by an infiltration with leucocytes.
Insights
Dacryolithiasis cases revealed mycotic infections, likely Candida albicans, within the dacryoliths. Histopathology showed these calculi composed of mucoproteids, lipids, and leukocytes.
Area of Science:
- Ophthalmology
- Pathology
Background:
- Dacryolithiasis, the formation of calculi in the lacrimal sac, is a rare condition.
- Diagnosis often involves imaging techniques like dacryocystography.
Observation:
- Three cases of dacryolithiasis are reported.
- Dacryocystography was used to demonstrate the dacryoliths in all patients.
- Two dacryoliths were surgically removed, and one was passed spontaneously.
Findings:
- Histopathological examination of two dacryoliths indicated a mycotic infection, suspected to be Candida albicans.
- The calculi were layered structures of neutral and acid mucoproteids and lipids.
- Leukocyte infiltration was also noted within the dacryolith composition.
Implications:
- This study highlights the potential role of fungal infections in dacryolith formation.
- Understanding the composition of dacryoliths can inform treatment strategies.
- Further research into the etiology and management of mycotic dacryolithiasis is warranted.