Dacryocystocele with obstructed nasolacrimal duct (dacryoscintigraphy and SPECT/CT)

Case contributed by Claire Cuscaden
Diagnosis certain

Presentation

Chronic left sided epiphora.

Patient Data

Gender: Male

Dacroscintigraphy performed following topical eye drops containing Tc99mO4- (Pertechnetate). 

Dynamic planar imaging performed to 60 minutes with SPECT/CT performed of the facial bones. 

SPECT/CT confirms a 10 x 14mm left sided dacryocystocele and no radiotracer identifiable within the nasolacrimal duct or nasal cavity. Radiotracer is confirmed within the right nasolacrimal duct, inferior nasal meatus and pharynx. 

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