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  • Title: Dacryolith-induced acute dacryocystitis: a reversible cause of nasolacrimal duct obstruction.
    Author: Dhillon N, Kreis AJ, Madge SN.
    Journal: Orbit; 2014 Jun; 33(3):199-201. PubMed ID: 24568662.
    Abstract:
    AIMS: To report an unusual case of acute dacryocystits with fully patent nasolacrimal duct at follow-up after incision and curettage. CASE REPORT: A 63-year-old patient with acute dacryocystitis and nasolacrimal duct abscess. CT orbits confirmed dacryocystitis without any orbital collection. Incision and drainage of the abscess was performed. RESULTS: Postoperative syringing of nasolacrimal duct demonstrated a fully patent nasolacrimal duct, with long term relief of epiphora. CONCLUSION: In some patients, dacryocystorhinostomy is not required after incision and drainage of a nasolacrimal abscess; reversible causes such as dacryoliths should always be considered.
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