The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Lacrimal mucocele

Photo by Professor Chua Chung Nen

This 61 year-old man presented with a left mucocele. A dacryrhinocystotomy (DCR) was arranged but the patient did not turn up. He returned for a few weeks later and the mucocele had disappeared. It turned out that he could not wait for the surgery and had performed auto-drainage of the abscess using a tooth-pick as demonstrated. Unfortunately, the mucocele returned a few weeks and he was unable to perform auto-drainage with the toothpick as the skin was thickened with fibrosis. An external DCR was eventually performed.

 

Right lacrimal mucocele.

 

Resolution of the mucocele with a small scar below the medial lower lid.

 

Patient showing auto-puncturing of the mucocele using a tooth-pick (Note: No recommended!)

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