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A Case of Lacrimal Sac Septum Presenting With Dacryocystocele

Siapno, Debrelle Lou P. M.D.*; Woo, Kyung In M.D., Ph.D.; Kim, Yoon-Duck M.D., Ph.D.

Ophthalmic Plastic & Reconstructive Surgery: January/February 2018 - Volume 34 - Issue 1 - p e16–e17
doi: 10.1097/IOP.0000000000000964
Case Reports

Lacrimal sac septum is a rare structural abnormality of the lacrimal system. A 15-year-old patient presented with epiphora and a mass inferior to the left medial canthal tendon. Dacryocystography and CT-dacryocystography revealed a dilated lacrimal sac with complete obstruction. A horizontal lacrimal sac septum was found in the mid-sac region during endoscopic dacryocystorhinostomy. Histopathologic examination of the septum revealed chronic inflammation with stratified columnar epithelial cell lining consistent with the lacrimal sac.

A case of lacrimal sac septum in a 15-year-old male with complaints of epiphora and medial canthal mass.

*Department of Ophthalmology, The Medical City, Pasig City, Philippines, and Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea

Accepted for publication May 24, 2017.

The authors have no financial or conflicts of interest to disclose.

Address correspondence and reprint requests to Kyung In Woo, M.D., Ph.D., Department of Ophthalmology, Samsung Medical Center, 50 Ilwon-dong, Kangnam-ku, Seoul 135–710, Republic of Korea. E-mail:

© 2018 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.