title: Corneal ectasia associated with massage of dacryocystoceles.
abstract: OBJECTIVE
  To report a patient with corneal ectasia and bilateral dacryocystoceles.
  
  
  METHODS
  Case report, review of medical literature.
  
  
  RESULTS
  The patient experienced gradual bilateral worsening of visual acuity caused by increasing corneal ectasia. Vigorous and frequent massaging of the lacrimal sacs and globes preceded development of symptomatic corneal ectasia.
  
  
  CONCLUSIONS
  The timing of the development of this patient's corneal ectasia suggests an association between the dacryocystoceles massage and the ectasia.
authors.affiliation: Oculoplastics Service, Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison 53792, USA. mlucarel@facstaff.wisc.edu
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Lucarelli
authors.forename: Peter
authors.initials: P
authors.lastname: DeBry
mesh_terms: D000328:Adult; D003316:Corneal Diseases / Q000209:etiology*; D003608:Dacryocystorhinostomy; D004108:Dilatation, Pathologic / Q000209:etiology; D006801:Humans; D007767:Lacrimal Duct Obstruction / Q000628:therapy*; D008297:Male; D008405:Massage / Q000009:adverse effects*