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Title: Expulsion of a lacrimal dacryolith by sneezing: a rare event. Author: Salam A, Williams CP, Manners RM. Journal: Eur J Ophthalmol; 2006; 16(1):161-3. PubMed ID: 16496262. Abstract: PURPOSE: To describe the case of a man presenting with intermittent epiphora of the right eye and a low grade dacryocystitis due to a dacryolith. METHODS/RESULTS: He was treated conservatively and was offered a Dacryocystorhinostomy. A few weeks before surgery, he developed swelling and pain over the right medial canthus followed by violent sneezing with spontaneous extrusion of the dacryolith. DISCUSSION: The authors propose that the dacryolith fragmented spontaneously and once it reached the nasal cavity, was expelled by violent sneezing to the nostril, a mechanism not previously reported. CONCLUSIONS: Reformation of dacryolith is a likely possibility, and recurrence of symptoms in such cases may ultimately require a Dacryocystorhinostomy.[Abstract] [Full Text] [Related] [New Search]