|Year : 2019 | Volume
| Issue : 2 | Page : 279
Endoscopic view of mascara laden lacrimal sac with canalicular involvement
Nishi Gupta1, Smriti Bansal2, Arpan Gandhi3
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 Publication||23-Jan-2019|
Dr. Nishi Gupta
Department of ENT, Dr Shroff's Charity Eye Hospital, 5027, Kedarnath Road, Daryaganj, New Delhi - 110 002
Source of Support: None, Conflict of Interest: None
|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 2020 Apr 5];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. Pigmentation of conjunctiva and nasolacrimal sac occurs when macrophages ingest pigmented material that then settles within the substantia propria of the epithelium.,,
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.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Ciolino JB, Mills DM, Meyer DR. Ocular manifestations of long-term mascara use. Ophthalmic Plast Reconstr Surg 2009;25:339-41.
Clifford L, Jeffrey M, Maclean H. Lacrimal sac pigmentation due to mascara. Eye (Lond) 2011;25:397-8.
Hidayat A, Weatherhead R, Al-Rajhi A, Johnson F. Conjunctival and lacrimal sac pigmentation by kohl (eyeliner). Br J Ophthalmol 1997;81:415.