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July 1957

Nonspecific Granuloma of Lacrimal Sac Harboring Polyethylene Tube

Author Affiliations

Asheville, N. C.

AMA Arch Ophthalmol. 1957;58(1):130-134. doi:10.1001/archopht.1957.00940010142014

Nonspecific granulomas of the lacrimal sac are not common, and so far only 26 cases have been reported in the literature (Duke-Elder1). They develop in chronic dacryocystitis as polypoid formations or they follow accidental injury, from probing and as a reaction to retained foreign bodies in the sac.

The case to be reported here is of interest because the granuloma developed after a polyethylene tube had been inserted in a stenosed lacrimal sac to effect lacrimal drainage.

A 79-year-old white woman was first seen September, 1955, because of a painful swelling in the region below the inner corner of the left eye. She gave a history of epiphora and purulent discharge from the right lacrimal sac three years previously, and the sac had been removed one year later. At that time, epiphora commenced in the left eye, and a polyethylene tube was inserted into the lacrimal pathways. This did

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