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Br J Ophthalmol 81:415 doi:10.1136/bjo.81.5.415d
  • Letter to the Editor

Conjunctival and lacrimal sac pigmentation by kohl (eyeliner)

Table 1

Clinical data for nine patients with kohl pigmentation

Patient No, age (years), sex Site of pigmentation Clinical diagnosis
1, 60, F Conjunctiva, both eyes Conjunctival pigmentation; cataract
2, 64, F Conjunctiva, both eyes Conjunctival pigmentation; corneal scar; cataract
3, 44, F Common lacrimal Chronic dacryocystitis, both eyes; common canalicular occlusion by pigmented scar, right eye; upper and lower canalicular occlusion, left eye
4, 52, M Lacrimal sac, right eye Chronic dacryocystitis with non-expressible mucocele, right eye
5, 50, F Lacrimal sac, right eye Chronic dacryocystitis with mucocele and dacrocutaneous fistula, right eye; blockage of lower canaliculus right eye; common canaliculus right eye and common canaliculus left eye
6, 50, F Lacrimal sac, left eye Chronic dacryocystitis, both eyes; partial common canicular occlusion, both eyes
7, 40, F Lacrimal sac, left eye; subcutaneous scar tissue around the fistula Chronic dacryocystitis with fistula, left eye; pigmentation of subcutaneous tissue around the fistula left eye
8, 55, F Lacrimal sac, left eye; periosteum of lacrimal sac fossa, left eye Blockage of upper and lower canaliculi, right eye, blockage of common canaliculus; congenital fistula from skin to common canaliculus
9, 56, F Lacrimal sac, left eye Common canalicular obstruction, both eyes
10, 55, F Lacrimal sac, right eye Chronic dacryocystitis, right eye

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