LACRIMAL SAC PLUGGING CAUSED BY ASPERGILLUS-FUMIGATUS

Aspergillus fumigatus is a rare cause of canalicular obstruction. We p resent a case where an aspergillosis plug caused extreme tenderness, e piphoria and discharge from the lacrimal puntum. CT scan showed dilati on of the lacrimal sac. Medical treatment did not relieve the symtoms. During a planned DCR the sac was opened before the osteotomy; and fou nd to contain a plug which caused the obstruction. Aspergillus fumigat us was grown from culture. The DCR was abandoned and the patient is sy mtom free one year after the procedure.