Kolik Ali Kubilay, Çetinbaş Genç Aslıhan, Vardar Filiz, Özbilen Kemal Turgay, Boral Özden, Büyükbabani Nesimi
Department of Pathology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Department of Biology, Faculty of Science, Marmara University, Istanbul, Turkey.
Eur J Ophthalmol. 2025 Jan;35(1):NP37-NP40. doi: 10.1177/11206721241282350. Epub 2024 Sep 9.
Foreign bodies in the lacrimal drainage system pose a substantial challenge in clinical practice due to their potential morbidity and diverse origins. Many foreign bodies are inorganic; however, organic foreign bodies, although uncommon, present diagnostic challenges. We present the case of a 57-year-old woman who had epiphora in her right eye. Patient's physical examination suggested an obstruction in the nasolacrimal duct. An external dacryocystorhinostomy (DCR) was scheduled. The surgery uncovered a polyp-like intrasaccal structure, which was subsequently identified as an organic foreign body through a comprehensive histopathological examination. This case underscores the significance of precise histopathological evaluation, multidisciplinary collaboration, and meticulous assessment in the identification of uncommon intraorbital organic foreign bodies.
泪道系统中的异物因其潜在的发病率和多样的来源,在临床实践中构成了重大挑战。许多异物是无机的;然而,有机异物虽然不常见,但却带来了诊断难题。我们报告一例57岁女性,其右眼溢泪。患者的体格检查提示鼻泪管阻塞。计划进行外路泪囊鼻腔吻合术(DCR)。手术中发现一个息肉样的囊内结构,随后通过全面的组织病理学检查确定为有机异物。该病例强调了精确的组织病理学评估、多学科协作以及细致评估在识别罕见眶内有机异物中的重要性。