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ARTICLES
Year : 1979  |  Volume : 27  |  Issue : 4  |  Page : 220

Hydatid disease of the lacrymal sac


kurnool Med. College, Kurnool (A.P.), India

Correspondence Address:
SVM Surya Rao
Kurnool Med. College, Kurnool (A.P.)
India
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How to cite this article:
Rao SS, Rao P S. Hydatid disease of the lacrymal sac. Indian J Ophthalmol 1979;27:220

How to cite this URL:
Rao SS, Rao P S. Hydatid disease of the lacrymal sac. Indian J Ophthalmol [serial online] 1979 [cited 2020 Apr 7];27:220. Available from: http://www.ijo.in/text.asp?1979/27/4/220/32638

The hydatid disease is not uncommon in India Hydatid cyst of orbit forms one percent of all published cases. So far hydatid cyst of lacrymal sac has not been reported and this being uncommon a case is presented in this paper.


  Case Report Top


M.B. aged 45 years attended Government General Hospital, Kurnool on 3-91976 with complaint of watering and swelling below the right eye since a few months.

History

The condition started with watering in right eye along with a pea sized swelling below the inner angle of the right eye for the last three months. The swelling gradually increased in size pushing the eye ball upwards and outwards. Fluctuation was present. There was no pain at any time. There was no pet dog in the family at any time.

The case was clinically diagnosed as a very big mucocele of the lacrymal sac and it was decided to excise the sac The operation was done under local anaesthesia. An incision 10 mm. in length was made over the sac region. As the cyst was big to facilitate easy removal without further extending the incision the fluid was aspirated. The fluid was straw coloured. The nature of the fluid and size of the cyst suggested hydatid disease, Kurnool being an endemic area.

The wall of the cyst was friable and was excised completely. The lacrymal fossa appeared normal. The operated area was profusely irrigated with saline and the wound sutured. The fluid and the wall of the cyst were sent for hi to pathological examination. The post. operative period was smooth and the patient was discharged on the seventh day.

Histological Examination of the wall of the cysts showed [Figure - 1] fibrious wall of a cyst with chronic inflammatory cell infiltration. The inner side of the cyst wall is lined by a hyaline laminated membranous structure showing clefts. Here and there foreign body gaint cell reaction was seen near the membrane. The histological picture is consistent with infected hydatid cyst.


    Figures

  [Figure - 1]



 

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