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Seroma management after an external dacryocystorhinostomy

Riddhi Thaker*, Noel Cowell, Segun Awotesu, Tristan McMullan

Seroma is a fluid-filled pocket, which often develops after surgical procedures. Especially after abdominal, breast and aesthetic surgery. We present, to the best of our knowledge, the first reported seroma case occurring after an external Dacryocystorhinostomy (DCR). A 54-year-old, fit and well female patient presented with a fluctuant, well-defined fluid-filled mass in the medial canthus following an uneventful external DCR. Only a small amount of discomfort was reported. Clinically, a seroma was diagnosed. Conservative management was advised including a local message for a few weeks and keeping the head above the heart. After a couple of months, the size of the seroma was much reduced. Local massage 3-4 times a day for a few weeks and head above the heart was the initial recommended management. This was similar to the management of seroma occurring after aesthetic, abdominal or breast surgery.