An Eyelash-induced Lacrimal Gland Stone

Yong Dae Kwon; Ji Won Lim

doi:10.3341/jkos.2010.51.8.1139

Journal List > J Korean Ophthalmol Soc > v.51(8) > 1008625

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Kwon and Lim: An Eyelash-induced Lacrimal Gland Stone

Original Article

J Korean Ophthalmol Soc 2010;51(8):1139-1141.

Published online: 7 September 2010

DOI: https://doi.org/10.3341/jkos.2010.51.8.1139

An Eyelash-induced Lacrimal Gland Stone

Yong Dae Kwon, MD, Ji Won Lim, MD

Department of Ophthalmology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea

Address reprint requests to Ji Won Lim, MD Department of Ophthalmology, Hallym University Sacred Heart Hospital #153 Gyo-dong, Chuncheon 200-060, Korea Tel: 82-33-240-5176, Fax: 82-33-255-5210, E-mail: jiwoneye@hallym.or.kr

Received 8 April 2010 Accepted 29 June 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of lacrimal gland stone initiated by an eyelash.

Case summary:

A 31-year-old woman presented with foreign body sensation, pain, and conjunctival injection in the lateral palpebral conjunctiva of her right eye over 6 months in duration. The physical examination revealed a small, firm nodule at the lateral canthal area. The excisional biopsy was performed, and the mass was a concretion that contained an eyelash in the center. During one-year follow-up, the patient showed no signs of recurrence or complication after excision.

Conclusions

Although rare in occurence, eyelashes may be the initial nidus for lacrimal gland stone formation.

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Keywords: Eyelash, Lacrimal gland stone

References

1. Zafar A, Jordan DR, Brownstein S, Faraji H. Asymptomatic lacrimal ductule dacryolithiasis with embedded cilia. Ophthal Plast Reconstr Surg. 2004; 20:83–5.

2. Baratz KH, Bartley GB, Campbell RJ, Garrity JA. An eyelash nidus for dacryoliths of the lacrimal excretory and secretory systems. Am J Ophthalmol. 1991; 111:624–7.

3. Jay JL, Lee WR. Dacryolith formation around an eyelash retained in lacrimal sac. Br J Ophthalmol. 1976; 60:722–5.

4. Baker RH, Bartley GB. Lacrimal gland ductule stones. Ophthalmolgy. 1990; 97:531–4.

5. Duke-Elder S, editor. System of ophthalmology. Vol. XIII The ocular adenexa part 2: lacrimal, orbital and paraorbital diseases. St. Louis: CV Mosby Co.;1974. p. 672.

6. Mawn LA, Sanon A, Conlon MR, Nerad JA. Pseudomonas dacryoadenitis secondary to a lacrimal gland ductule stone. Ophthal Plast Reconstr Surg. 1997; 13:135–8.

7. Halborg J, prause JU, Toft PB, et al. Stones in the lacrimal gland: a rare condition. Acta Ophthalmol. 2009; 87:672–6.

8. Marthin JK, Lindegaard J, Prause JU, Heegaard S. Lesions of the lacrimal drainage system: a clinicopathological study of 643 biopsy specimens of the lacrimal drainage system in Denmark 1910–1999. Acta Ophthalmol Scand. 2005; 83:94–9.

9. Garfin SW. Etiology of dacryocystitis and epiphora. Arch ophthalmol. 1942; 27:167–88.

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Figure 1.

Non-tender, yellowish mass in the lateral canthal area of the right eye.

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Figure 2.

Macroscopic view of an eyelash (arrow) removed from the center of the mass and the stone fragments excised from the lateral canthal area.

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Figure 3.

Histopathologic examination of a mass (H&E stain, ×200). (A) Eosinophilic amorphous and granular material with a area of cystic wall (removed stone)(arrow). (B) Non-specific chronic inflammatory cells infiltrated. There is no ductule or glands.

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