Table of Contents Author Guidelines Submit a Manuscript
Journal of Ophthalmology
Volume 2014 (2014), Article ID 396782, 5 pages
http://dx.doi.org/10.1155/2014/396782
Clinical Study

Clinical, Radiological, Microbiological, and Histopathological Aspects of Acquired Dacryocystoceles

1Department of Ophthalmology, Sisli Etfal Training and Research Hospital, Halaskargazi Street, Etfal Home Street, Şişli, 34371 İstanbul, Turkey
2Department of Ophthalmology, Faculty of Medicine, Kafkas University, Pasacayiri Street, 36301 Kars, Turkey

Received 27 February 2014; Revised 23 May 2014; Accepted 24 May 2014; Published 11 June 2014

Academic Editor: Enrique Mencía-Gutiérrez

Copyright © 2014 Selam Yekta Sendul et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. The aim of this study is to investigate the etiology and the clinical, microbiological, histopathological, and radiological findings of acquired dacryocystoceles. Methods. In this retrospective study, we reviewed the clinical records of 10 eyes of 8 patients with dacryocystoceles who underwent external dacryocystorhinostomy (DCR) surgery. Etiology, presenting symptoms and radiological findings as well as microbiological and histopathological assessment results and outcome were analyzed. Results. The records of 8 patients with dacryocystoceles were included in this study. In the histopathological evaluations of the samples collected from the lacrimal sac wall, chronic inflammation was found in all biopsied samples and fibrosis was observed in two histopathological evaluations. Computerized tomography (CT) imaging showed fluid collection separated from adjacent tissues by a thin rim, corresponding to dacryocystoceles in the sac. In the microbiological culture examination of samples collected from the fluid within the cyst, no bacterial growth in 5 eyes, gram-negative bacillus growth in 3 eyes, and gram-positive cocci growth in 2 eyes were found. Conclusions. Acquired dacryocystoceles were observed extremely rarely and a definite pathogenic agent could not be identified in any of the cases, either microbiologically or histologically, whereas chronic inflammation was detected in all cases in our study.