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OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 2  |  Page : 279

Endoscopic view of mascara laden lacrimal sac with canalicular involvement


1 Department of ENT, Dr Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India
2 Department of Ophthalmology, Dr Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India
3 Department of Pathology, Dr Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India

Date of Web Publication23-Jan-2019

Correspondence Address:
Dr. Nishi Gupta
Department of ENT, Dr Shroff's Charity Eye Hospital, 5027, Kedarnath Road, Daryaganj, New Delhi - 110 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1348_18

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How to cite this article:
Gupta N, Bansal S, Gandhi A. Endoscopic view of mascara laden lacrimal sac with canalicular involvement. Indian J Ophthalmol 2019;67:279

How to cite this URL:
Gupta N, Bansal S, Gandhi A. Endoscopic view of mascara laden lacrimal sac with canalicular involvement. Indian J Ophthalmol [serial online] 2019 [cited 2019 Aug 24];67:279. Available from: http://www.ijo.in/text.asp?2019/67/2/279/250663



Mascara, a widely used cosmetic, is associated with eye pathology.[1] Pigmentation of conjunctiva and nasolacrimal sac occurs when macrophages ingest pigmented material that then settles within the substantia propria of the epithelium.[1],[2],[3]

A 62-year-old woman underwent bilateral endoscopic dacryocystorhinostomy with canalicular trephination for epiphora. Intraoperatively, abnormal pigmentation was noted around the common canalicular opening into the lacrimal sac [Figure 1]a and [Figure 1]b. The histopathology showed fibrous tissue with abundant pigmentation within the cytoplasm of stroma of the fibrous tissue [Figure 1]c and [Figure 1]d. Appearances of these pigments were consistent with mascara.
Figure 1: (a) Endoscopic view of the left nasal cavity showing thick black pigmented patches in the lumen of the sac around the common canaliculus with probe in situ. (b) Endoscopic view of the right nasal cavity of the same patient showing diffuse black pigmentation of the lacrimal sac lumen with probe in situ.(c and d) Microphotograph of the same patient showing abundant pigmentation into the cytoplasm of the fibrous tissue and stroma

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The physical findings combined with a high index of suspicion, especially in cases of heavy mascara use, may allow for an accurate diagnosis.[1]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ciolino JB, Mills DM, Meyer DR. Ocular manifestations of long-term mascara use. Ophthalmic Plast Reconstr Surg 2009;25:339-41.  Back to cited text no. 1
    
2.
Clifford L, Jeffrey M, Maclean H. Lacrimal sac pigmentation due to mascara. Eye (Lond) 2011;25:397-8.  Back to cited text no. 2
    
3.
Hidayat A, Weatherhead R, Al-Rajhi A, Johnson F. Conjunctival and lacrimal sac pigmentation by kohl (eyeliner). Br J Ophthalmol 1997;81:415.  Back to cited text no. 3
    


    Figures

  [Figure 1]



 

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