Bilateral nasolacrimal duct obstruction associated with Crohn's disease successfully treated with dacryocystorhinostomy.

A 41-year-old woman developed epiphora due to bilateral nasolacrimal duct obstruction 1 year after a definitive diagnosis of Crohn's disease. Treatment with systemic and topical antibiotic therapy resulted in resolution of the left-sided obstruction but epiphora persisted on the right side. The patient underwent standard dacryocystorhinostomy with insertion of silicone tubes. Six months after surgery, she remains free of symptoms. To our knowledge, this is the first report of bilateral nasolacrimal duct obstruction that occurred in a patient with active Crohn's disease.