Abstract

Rhinoscleroma is a chronic granulomatous disease with an ability to cause extensive disfiguration. A patient presented with extensive stenosis of the nares and sudden onset lacrimal abscess. In this case, we see Rhinoscleroma has spread involving the lacrimal sac system as well, thus the term Dacryoscleroma. The patient underwent dacryocystorhinostomy, multiple staged endonasal surgical release of adhesions with external drainage of the lacrimal abscess and Silastic sheet stenting of bilateral nasal cavity. This case demonstrates that a high index of suspicion is needed in suspecting this rare cause for lacrimal abscess and also emphasizes on the need for staged management in relieving the various sequelae caused by the disease process to attain optimized disease clearance and adequate relief of symptoms with a chronically disfiguring disease such as rhinoscleroma.