Lacrimal sac mucosal graft for correction of cicatricial entropion in a patient wearing ocular prosthesis.
Md Shahid Alam, Priyanka Saini
✦ AI-curated · Sources linked
Case in brief
A 48-year-old woman with a phthisical right eye presented with persistent discharge and cicatricial entropion affecting both eyelids. Diagnosed with right nasolacrimal duct obstruction, she underwent dacryocystectomy. The excised lacrimal sac mucosa was utilized as a graft to correct her entropion, resulting in effective correction and satisfactory cosmetic results.
What made this case unusual
This case is notable for the innovative use of lacrimal sac mucosa as a graft material for posterior lamella replacement, which has not been previously reported.
Diagnostic / clinical pearl
Clinicians should consider the structural similarity of lacrimal sac mucosa to conjunctival mucosa when addressing cicatricial entropion, especially in cases involving ocular prostheses.
Why it matters
This case highlights a novel application of autologous tissue in eyelid surgery, potentially expanding options for reconstructive procedures in similar patients.