Habaluyas Chrisha Faye T, Teope Jonnah Kristina C, Ito Mayari, Takahashi Yasuhiro
Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Aichi, JPN.
Cureus. 2024 Nov 20;16(11):e74060. doi: 10.7759/cureus.74060. eCollection 2024 Nov.
Canaliculops is a rare case of a medial canthal mass due to a non-infectious dilation of the canaliculus and easily mimics canaliculitis with canalicular dilation. We report a case of a 68-year-old woman with a five-year history of progressive swelling of the right upper eyelid. The patient was previously diagnosed with canaliculitis at other clinics and had a history of diabetes mellitus. A purplish-red cystic lesion in the right upper eyelid, medial to the punctum, was noted. However, the lesion was non-tender. Dacryoendoscopic examination showed an expanded right upper horizontal canaliculus with minor inflammatory changes and without intracanalicular granulation tissue. Right common canaliculus obstruction was managed with dacryoendoscopic probing and lacrimal tube insertion. Cytodiagnostic examination of accumulated fluid in the dilated lacrimal canaliculus showed a few foam and inflammatory cells. At three-month follow-up, the lacrimal tube was removed, and no recurrence of epiphora was noted.
泪小管扩张症是一种罕见的内眦肿物，由泪小管非感染性扩张引起，易与伴有泪小管扩张的泪小管炎相混淆。我们报告一例68岁女性，有右上睑进行性肿胀5年病史。该患者此前在其他诊所被诊断为泪小管炎，并有糖尿病史。在泪点内侧的右上睑发现一个紫红色囊性病变。然而，该病变无压痛。泪道内镜检查显示右上水平泪小管扩张，有轻微炎症改变，且无泪小管内肉芽组织。右侧总泪小管阻塞通过泪道内镜探查和泪管插入进行处理。对扩张泪小管内积聚的液体进行细胞诊断检查，发现有少量泡沫细胞和炎性细胞。在3个月的随访中，取出泪管，未发现溢泪复发。
