Abstract :
Lacrimal sac diverticulum can be congenital, inflammatory or traumatic in origin, in our case inflammation secondary to Rhinosporidiosis was the cause for development of diverticulum. Rhinosporidiosis is a chronic granulomatous infection of mucous membrane caused by Rhinosporidiosis seeberi, which is a eukaryotic pathogen belonging in class Mesomycetozoea. Here patient presented as a case of persistent cystic swelling just below the medial canthus associated with intermittent epiphora and discharge. After all required investigations, surgical excision of the diverticulum was done preserving the lacrimal sac. As Rhinosporidiosis was diagnosed on histopathological examination, post surgery dapsone therapy was given for 6 months and followed for 1 year. Till date there is no recurrence.
Keyword :
Diverticulectomy, Lacrimal sac diverticulum, Lower lid mass, Rhinosporidium Seeberi