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[Tear-sac concretions (author's transl)]

Klinische Monatsblatter Fur Augenheilkunde
|May 1, 1978
PubMed

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.

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