@article {280876,
	title = {Bilateral Sequential Dacryocystitis in a Patient With Graft-Versus-Host Disease.},
	journal = {Ophthal Plast Reconstr Surg},
	volume = {32},
	number = {4},
	year = {2016},
	month = {2016 Jul-Aug},
	pages = {e89-92},
	abstract = {A 29-year-old woman with a history of 2 bone marrow transplants for acute myelogenous leukemia developed bilateral sequential dacryocystitis in the context of known ocular graft-versus-host disease. With each infection, the patient underwent uneventful dacryocystorhinostomy. Postoperatively, she developed severe dry eye disease requiring replacement of punctal plugs and use of a prosthetic replacement of the ocular surface ecosystem lens. Histopathologic and immunohistochemical examination of the lacrimal sac showed a dense diffuse nonfollicular lymphocytic subepithelial infiltrate in the lacrimal sac that contained moderately more T-cells than B-cells. This is the first report of acute dacryocystitis associated with graft-versus-host disease. The authors caution that similar patients may develop worsening of ocular surface dryness due to restoration of normal lacrimal outflow.},
	issn = {1537-2677},
	doi = {10.1097/IOP.0000000000000267},
	author = {Campbell, Ashley A and Jakobiec, Frederick A and Rashid, Alia and Dana, Reza and Yoon, Michael K}
}
