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Article
July 1947

MYCOTIC OBSTRUCTION OF THE NASOLACRIMAL DUCT (CANDIDA ALBICANS)

Author Affiliations

SAN FRANCISCO

Arch Ophthalmol. 1947;38(1):39-42. doi:10.1001/archopht.1947.00900010042002
Abstract

MYCOTIC infections of the lacrimal apparatus have been recognized since their description by von Graefe, in 1854. Numerous reports may be found in the literature of various fungi producing obstruction of the lacrimal passages. Streptothrix and leptothrix are mentioned in most textbooks as the organisms commonly encountered. In the great majority of cases the obstruction has consisted of mycotic concretions in the lacrimal canaliculi. Such cases have been reported, among others, by Fazakas,1 de Saint-Martin,2 Carsten,3 Talice,4 Elliott,5 McClanahan,6 Reese,7 Valière-Vialeix8 and Brinkerhoff.9 Reports of mycotic obstruction of the nasolacrimal duct, however, are notably lacking.

Fazakas10 made an intensive study of the mycotic flora of normal and diseased eyes. The fungi recovered most often were Penicillium, Torula, Alternaria, Schizosaccharomyces hominis, Haplographium and

Aspergillus, in descending order of frequency. Although of the fungi recovered in cases of lacrimal obstruction these forms

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