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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 3  |  Page : 523

Accidental detection of left intranasal foreign body during probing of right congenital nasolacrimal duct obstruction


Department of Oculoplasty, Dr. Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India

Date of Web Publication14-Feb-2020

Correspondence Address:
Dr. Smriti Bansal
Department of Oculoplasty, Dr. Shroff's Charity Eye Hospital, Daryaganj, New Delhi - 110 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1178_19

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How to cite this article:
Bansal S. Accidental detection of left intranasal foreign body during probing of right congenital nasolacrimal duct obstruction. Indian J Ophthalmol 2020;68:523

How to cite this URL:
Bansal S. Accidental detection of left intranasal foreign body during probing of right congenital nasolacrimal duct obstruction. Indian J Ophthalmol [serial online] 2020 [cited 2020 Jul 9];68:523. Available from: http://www.ijo.in/text.asp?2020/68/3/523/278347



A 2-year-old child presented with watering and discharge since birth in right eye (RE) with regurgitation of pus through the canaliculion on pressure over lacrimal sac. The child was posted for RE endoscopic guided probing and syringing. Intraoperatively, there was a thin membrane over valve of Hasner which was pierced with probe making the passage patent [Figure 1]a and [Figure 1]b. As a protocol, her left eye was checked for syringing, to look for patency, endoscope was introduced in left side and a foreign body was found impacted in the nostril [Figure 1]c. The foreign body was removed under endoscopic guidance [Figure 1]d. Parents were unaware about the impacted foreign body. A similar case has been reported where a vegetative foreign body caused obstruction at opening of nasolacrimal duct leading to symptoms of congenital nasolacrimal duct obstruction.[1] In the presented case, the foreign body was impacted in the other nostril and hence shows importance of bilateral examination.
Figure 1: (a) Probe in right nasal cavity showing thin membrane, (b) Probe pierced the membrane and passage was patent after that, (c) Foreign body impacted in left nostril, (d) Foreign body (part of female stoll) removed from left nasal cavity

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ali MJ. Accidental detection of intra-nasal foreign body during probing for congenital nasolacrimal duct obstruction. Saudi J Ophthalmol 2016;30:272-3.  Back to cited text no. 1
    


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