PMC6198391_01
External photo showing cryptophthalmos and a beaked nasal bridge. There was a previous attempt at the creation of eyelids with residual scar.
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His craniofacial abnormalities are shown in Figure 1.
Pretreatment-computed tomography of the sinuses demonstrates bilateral dacryocystoceles greater on the right than left.
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Computed tomography of the sinuses (Figure 2) and magnetic resonance imaging of the orbits (Figure 3) demonstrated right greater than left bilateral dacryocystoceles containing proteinaceous material extending into the lacrimal ducts.
Magnetic resonance imaging demonstrates bilateral dacryocystoceles, larger and with a more hyperintense T2 signal on the right. There is a small, shrunken right globe with enophthalmos, and the left globe is deformed with an absent lens.
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Computed tomography of the sinuses (Figure 2) and magnetic resonance imaging of the orbits (Figure 3) demonstrated right greater than left bilateral dacryocystoceles containing proteinaceous material extending into the lacrimal ducts.
Endoscopic view of the right lacrimal fossa 6 months post operatively. The left side of the picture demonstrates a well marsupialized lacrimal fossa into the nasal cavity.
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Endonasal imaging from 6-month follow-up is shown in Figure 4.