# Dacryocystitis Secondary to Orbital Mesh Implant Impingement: A Rare Etiology

## TL;DR

A young man developed eye swelling and discharge due to a migrated mesh used in a previous eye surgery.

## Contribution

This case highlights a rare cause of dacryocystitis linked to orbital mesh implant impingement.

## Key findings

- Mesh over-extension into the paranasal region caused lacrimal sac obstruction.
- Surgical exploration confirmed mesh migration as the cause of symptoms.
- The case emphasizes the need for careful mesh placement during orbital surgery.

## Abstract

A 22-year-old male patient reported swelling in relation to the right eye and developed recurrent purulent discharge and epiphora following a reconstructive traumatic orbital floor fracture repair two years ago. Radiographic investigation and surgical exploration reveal obstruction of the lacrimal apparatus at the lacrimal sac level due to over-extension/migration of the orbital floor mesh. The migration of the mesh was probably due to the extension of the mesh medially into the paranasal region.