title: Bilateral dacryocystoceles in a pregnant woman.
abstract: The authors describe, for the first time, bilateral, sequential large dacryocystoceles during pregnancy and review the literature for this presentation. A 26-year-old, 15-week pregnant woman presented with OD epiphora, diplopia, and pain in the setting of an inferomedial orbital mass. Surgical exploration and histopathology were consistent with a dacryocystocele, and a dacryocystorhinostomy was curative. She returned at 34-week gestation, with an identical presentation on the left side. Review of the literature reveals that dacryocystoceles occasionally present in adults; however, bilateral involvement may be unusual. Bilateral dacryocystoceles have not been previously reported in a pregnant woman.
authors.affiliation: *Department of Ophthalmology, Gavin Herbert Eye Institute, University of California, Irvine, California; †Department of Ophthalmology, Yale Eye Center, Yale University, New Haven, Connecticut; ‡Department of Oculofacial Plastic and Orbital Surgery, Maryland Eye Associates, Annapolis, Maryland, U.S.A.
authors.forename: Kristin E
authors.initials: KE
authors.lastname: Hirabayashi
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Yang
authors.forename: Julio
authors.initials: J
authors.lastname: Echegoyen
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Yoon
authors.forename: Jeremiah P
authors.initials: JP
authors.lastname: Tao
mesh_terms: D000328:Adult; D003608:Dacryocystorhinostomy; D004172:Diplopia / Q000175:diagnosis; D058447:Eye Pain / Q000175:diagnosis; D005260:Female; D005865:Gestational Age; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000175:diagnosis; D007767:Lacrimal Duct Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity