Recurrent canalicular granulation tissue following syringing and probing

Abstract

A 70-year-old woman presented with lower lid swelling in the right eye for a duration of 5 months. There was no associated trauma or surgical intervention to the canaliculi. On examination, there was a soft and diffuse swelling adjacent to the lower punctum. Syringing and probing were done, revealing incomplete blockage of the lacrimal system. After a week of syringing, a growth arising from the lower punctum was noted. Excision was done and histopathological examination revealed granulation tissue with no malignancy seen. At 6 weeks post-excision, the granulation tissue recurred and was treated medically as the patient remained asymptomatic.