title: Clinical, radiological, microbiological, and histopathological aspects of acquired dacryocystoceles.
abstract: Purpose. The aim of this study is to investigate the etiology and the clinical, microbiological, histopathological, and radiological findings of acquired dacryocystoceles. Methods. In this retrospective study, we reviewed the clinical records of 10 eyes of 8 patients with dacryocystoceles who underwent external dacryocystorhinostomy (DCR) surgery. Etiology, presenting symptoms and radiological findings as well as microbiological and histopathological assessment results and outcome were analyzed. Results. The records of 8 patients with dacryocystoceles were included in this study. In the histopathological evaluations of the samples collected from the lacrimal sac wall, chronic inflammation was found in all biopsied samples and fibrosis was observed in two histopathological evaluations. Computerized tomography (CT) imaging showed fluid collection separated from adjacent tissues by a thin rim, corresponding to dacryocystoceles in the sac. In the microbiological culture examination of samples collected from the fluid within the cyst, no bacterial growth in 5 eyes, gram-negative bacillus growth in 3 eyes, and gram-positive cocci growth in 2 eyes were found. Conclusions. Acquired dacryocystoceles were observed extremely rarely and a definite pathogenic agent could not be identified in any of the cases, either microbiologically or histologically, whereas chronic inflammation was detected in all cases in our study.
authors.affiliation: Department of Ophthalmology, Sisli Etfal Training and Research Hospital, Halaskargazi Street, Etfal Home Street, Şişli, 34371 İstanbul, Turkey.
authors.forename: Selam Yekta
authors.initials: SY
authors.lastname: Sendul
authors.affiliation: Department of Ophthalmology, Sisli Etfal Training and Research Hospital, Halaskargazi Street, Etfal Home Street, Şişli, 34371 İstanbul, Turkey.
authors.forename: Sonmez
authors.initials: S
authors.lastname: Cinar
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Kafkas University, Pasacayiri Street, 36301 Kars, Turkey.
authors.forename: Halil Hüseyin
authors.initials: HH
authors.lastname: Cağatay
authors.affiliation: Department of Ophthalmology, Sisli Etfal Training and Research Hospital, Halaskargazi Street, Etfal Home Street, Şişli, 34371 İstanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Demir
authors.affiliation: Department of Ophthalmology, Sisli Etfal Training and Research Hospital, Halaskargazi Street, Etfal Home Street, Şişli, 34371 İstanbul, Turkey.
authors.forename: Burcu
authors.initials: B
authors.lastname: Dirim
authors.affiliation: Department of Ophthalmology, Sisli Etfal Training and Research Hospital, Halaskargazi Street, Etfal Home Street, Şişli, 34371 İstanbul, Turkey.
authors.forename: Dilek
authors.initials: D
authors.lastname: Guven