A suture-induced granuloma of canaliculus after double eyelid surgery: a case report.
- 1Jinan Mingshui Eye Hospital, Longquan Road 5601, Zhangqiu District, Jinan, China.
- 2Jinan Mingshui Eye Hospital, Longquan Road 5601, Zhangqiu District, Jinan, China. [email protected].
Abstract
Background
Lacrimal canaliculus granuloma is an uncommon benign lesion of the lacrimal drainage system. This case is novel because it describes a lacrimal canaliculus granuloma caused by long-term retention of a suture that penetrated the canaliculus wall after double eyelid surgery-a complication not previously highlighted in the literature.Case presentation
A 41-year-old female presented with a 7-day history of a growing mass in the medial canthal area of the right eye. Ophthalmic examination revealed a granulomatous mass protruding approximately 3 mm from the right upper punctum. A clinical diagnosis of lacrimal canaliculus granuloma was made, and the patient underwent surgical treatment. Intraoperatively, a suture from prior double eyelid surgery was observed penetrating the canaliculus wall, with the pedicle of the granuloma tightly encasing the suture. The mass was excised, followed by canalicular reconstruction and lacrimal intubation. The patient recovered well postoperatively.Conclusions
This case highlights that double eyelid surgery, if not performed according to strict operational standards, may cause injury to the lacrimal canaliculus and lead to complications. Clinicians should be aware of this rare but preventable condition.
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BibTeX
@article{li2026sutureinduced,
title = {{A suture-induced granuloma of canaliculus after double eyelid surgery: a case report.}},
author = {Zhaorui Li and Ji Li and Qi Li and Yunqiu Li and Xiao Yang},
journal = {BMC ophthalmology},
year = {2026},
month = aug,
doi = {10.1186/s12886-026-05177-x},
url = {https://europepmc.org/article/MED/42972279},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - A suture-induced granuloma of canaliculus after double eyelid surgery: a case report.
AU - Zhaorui Li
AU - Ji Li
AU - Qi Li
AU - Yunqiu Li
AU - Xiao Yang
PY - 2026
DA - 2026/08/05
JO - BMC ophthalmology
DO - 10.1186/s12886-026-05177-x
UR - https://europepmc.org/article/MED/42972279
AB - Background Lacrimal canaliculus granuloma is an uncommon benign lesion of the lacrimal drainage system. This case is novel because it describes a lacrimal canaliculus granuloma caused by long-term retention of a suture that penetrated the canaliculus wall after double eyelid surgery-a complication not previously highlighted in the literature.Case presentation A 41-year-old female presented with a 7-day history of a growing mass in the medial canthal area of the right eye. Ophthalmic examination revealed a granulomatous mass protruding approximately 3 mm from the right upper punctum. A clinical diagnosis of lacrimal canaliculus granuloma was made, and the patient underwent surgical treatment. Intraoperatively, a suture from prior double eyelid surgery was observed penetrating the canaliculus wall, with the pedicle of the granuloma tightly encasing the suture. The mass was excised, followed by canalicular reconstruction and lacrimal intubation. The patient recovered well postoperatively.Conclusions This case highlights that double eyelid surgery, if not performed according to strict operational standards, may cause injury to the lacrimal canaliculus and lead to complications. Clinicians should be aware of this rare but preventable condition.
SN - 1471-2415
ER -