Persistent Post-traumaticdacrocystitis and epiphora following unusual impacted metallic fragments foreign body in the left ethmoido-orbital region

Abstract

Dacryocystitis is inflammation of the lacrimal sac which is located between the medial canthus of the eyes and the bridge of the nose and occurs following obstruction of the nasolacrimal duct. We report a case of persistent post-traumatic dacrocystitis and epiphora with unusual impacted metallic fragment of a motor bike brake handle in the left ethmoido-orbital region, following collision with a fast-moving motor bike in a child, which was neglected for 6 months. The patient had left ethmoido-orbital exploration, foreign body removal and dacryocystorhinostomy at the same sitting. He recovered uneventfully and has remained symptom free.