yemenjmedYemen Journal of MedicinecoVolume 3 Issue 1MultidisciplinaryEnglishJanuary-April 2024NNY20240511ArticleLacrimal sac dacryolith treated with endoscopic dacryocystorhinostomy: A case report and literature reviewEnglishY5153PankajGoyal1EnglishNChandraniChatterjee2EnglishY10.32677/yjm.v3i1.4402Dacryolith is a concretion within the nasolacrimal systemthat may calcify and cause further obstruction of the nasolacrimal pathway. It may cause intermittent epiphora without inflammation or recurrent dacryocystitis and is often diagnosed during dacryocystorhinostomy (DCR). We report the case of a lacrimal sac dacryolith in a 37-year-old man who was referred to our hospital from the eye clinic with complaints of epiphora that were not relieved by medication. He had no history of epiphora. During endoscopic DCR, the presence of dacryolith in the lacrimal sac was detected and completely removed while the pus was drained. The patient was discharged on the second postoperative day with systemic and topical antibiotics. During routine follow-up, the patient was in good condition and had no complaints. We aim to raise awareness among clinicians of this unusual cause of nasolacrimal duct obstruction, which can be successfully managed with endoscopic DCR rather than an open external approach.EnglishDacryolith, Endoscopic dacryocystorhinostomy, Epiphora, Lacrimal sac, Nasolacrimal duct obstructionhttps://yemenjmed.com/admin/abstract?id=99References1619Aydin U, Hastar E, Yildirim D. Dacryolith: two case reports. Dentomaxillofac Radiol. 2007; 36(4):237-9.Rosen WJ, Rose GE. Intranasal passage of dacryoliths Br J Ophthalmol. 2000;84(7):799-800.Paulsen F. Pathophysiological aspects of PANDO, dacryolithiasis, dry eye, and punctum plugs. In: Weber RK, Keerl R, Schaefer SD et al Atlas of lacrimal surgery. Springer, Berlin, 2007, p 15and;ndash;27Repp DJ, Burkat CN, LucarelliMJ. Lacrimal excretory system concretions: canalicular and lacrimal sac. Ophthalmology. 2009;116:2230and;ndash; 2235Hurwitz JJ. Diseases of the Sac and Duct. In: Hurwitz JJ (ed) The lacrimal system, 1st edn. Lippincott Raven, Philadelphia, 1996, p 117and;ndash;138Iliadelis ED, Karabatakis VE, Sofoniou MK. Dacryoliths in a series of dacryocystorhinostomies: histologic and chemical analysis. Eur J Ophthalmol. 2006; 16(5):657and;ndash;662Orhan M, Onerci M, Dayanir V et al. Lacrimal sac dacryolith: a study with atomic absorption spectrophotometry and scanning electron microscopy. Eur J Ophthalmol. 1996;6(4):478and;ndash;480Iliadelis E, Karabatakis V, SofoniouM. Dacryoliths in chronic dacryocystitis and their composition (spectrophotometric analysis). Eur J Ophthalmol. 1999;9(4):266and;ndash;268Herzig S, Hurwitz JJ. Lacrimal sac calculi. Can J Ophthalmol.1979; 14(1):17and;ndash;20Paulsen FP, Schaudig U, Fabian A, et al. TFF peptides and mucins are major components of dacryoliths. Graefes Arch Clin Exp Ophthalmol 2006;244(9):1160and;ndash;1170Yazici B, Hammad AM, Meyer DR. Lacrimal sac dacryoliths: predictive factors and clinical characteristics. Ophthalmology. 2001 Jul;108(7):1308-12.Duke-Elder S, ed. Textbook of Ophthalmology. Vol. 5: The Ocular Adnexa. London: Kimpton, 1952;5364.Viers ER. Lacrimal disorders. CV Mosby, St. Louis, 1976, p 150and;ndash;180Berlin AJ, Rath T, Rich L. Lacrimal system dacryoliths. Ophthalmic Surg 1980;11(7):435and;ndash;6Gonnering RS, Bosniak SL. Recognition and management of acute noninfectious dacryocystic retention. Ophthal Plast Reconstr Surg 1989;5:27and;ndash;33.Hurwitz JJ, ed. The Lacrimal System. Philadelphia: Lippincott- Raven, 1996:117and;ndash;38.Jones LT, Wobig JL, eds. Surgery of the Eyelids and Lacrimal System. Birmingham, AL: Aesculapius Publishing Co, 1976: 185and;ndash;93.Smith B, Tenzel RR, Buffam FV et al. Acute dacryocystic retention [case report]. Arch Ophthalmol 1976; 94:1903and;ndash; 4.Jones LT. Tear-sac foreign bodies. Am J Ophthalmol 1965; 60:111and;ndash;3.Wilkins RB, Pressly JP. Diagnosis and incidence of lacrimal calculi. Ophthalmic Surg 1980; 11:787and;ndash;9.Berlin AJ. Success rate of endoscopic laser-assisted dacryocystorhinostomy [letter]. Ophthalmology 2000; 107:4 and;ndash;5.