The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
Photo by Professor Chua
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!)