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M.T. Yen, K.G. Yen, R.L. Anderson; Perivascular Dermatitis of the Eyelid Secondary to Chronic Epiphora . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2423.
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Purpose: To describe the previously unreported association of eyelid perivascular dermatitis and chronic epiphora. Methods: Two patients with chronic intermittent epiphora were evaluated for unusual medial canthal eyelid lesions. Incisional biopsies of the lesions were performed and examined microscopically. One patient was found to have a congenital nasolacrimal sac fistula, and the second patient was found to have punctal eversion and punctal stenosis causing epiphora. Both patients underwent surgical correction of their lacrimal drainage system abnormality. Results: Histological analysis of the eyelid lesions revealed a perivascular dermatitis without evidence of malignancy. Both patients underwent successful surgical correction of their lacrimal drainage system abnormalities and had complete resolution of their epiphora. One month postoperatively, the eyelid lesions had spontaneously resolved. Conclusions: Chronic epiphora can result in inflammatory eyelid lesions. To our knowledge, this association has not been previously reported. Careful examination of the lacrimal drainage system should be performed during the evaluation of all unusual eyelid lesions in the medial canthal region. Successful management can be achieved with surgical correction of the lacrimal drainage system abnormality.
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