Boraginaceae plant fragment as a foreign body in the lacrimal duct: Multidisciplinary diagnosis

Abstract

Foreign bodies in the lacrimal drainage system pose a substantial challenge in clinical practice due to their potential morbidity and diverse origins. Many foreign bodies are inorganic; however, organic foreign bodies, although uncommon, present diagnostic challenges. We present the case of a 57-year-old woman who had epiphora in her right eye. Patient's physical examination suggested an obstruction in the nasolacrimal duct. An external dacryocystorhinostomy (DCR) was scheduled. The surgery uncovered a polyp-like intrasaccal structure, which was subsequently identified as an organic foreign body through a comprehensive histopathological examination. This case underscores the significance of precise histopathological evaluation, multidisciplinary collaboration, and meticulous assessment in the identification of uncommon intraorbital organic foreign bodies.