The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
Photo by Professor Chua
year-old woman underwent an uncomplicated right DCR (dacryocystorhinostomy).
She presented to our eye department 4 weeks later with protrusion of the
tube. It turned out that she went to the local clinic because of right
ocular irritation, the junior doctor who saw her attempted to remove the
tube without consultating the eye team. As the tube was tied at the distal
end, it could not be removed through the punctum. We attempted to replace
the tube by pushing it back without success. Endoscopic attempt through the
nose to retrieve the tube was also unsuccessful as the distal ends had been
pulled into the lacrimal sac. The tube was eventually removed surgically via
the original surgical scar.