Lacrimal fistula can occur due to trauma, iatrogenic or congenital. The most common presentation in patients with congenital lacrimal fistula is epiphora or purulent discharge due to cystic dilatation from secondary infection.
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| http://dx.doi.org/10.4103/ojo.OJO_218_2019 | DOI Listing |
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Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan.
A 55-year-old Japanese woman presented with a 2-year history of right-sided epiphora and mucoid discharge. Slit-lamp examination revealed the presence of an additional punctum in the medial canthus. Dacryoendoscopic examination was performed to assess the connectivity of the supernumerary punctum, confirming its direct communication with the upper lacrimal canaliculus.
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Article Synopsis
- The study analyzed the clinical profiles and outcomes of 554 adult patients with acute dacryocystitis (AD) in China over 10 years, focusing on endoscopic dacryocystorhinostomy (En-DCR) management.
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Orbit
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Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, India.
Congenital lacrimal drainage anomalies have several syndromic and non-syndromic associations reported in the literature. While the information is exhaustive, it may not be useful if someone wants to know the associations based on individual lacrimal anomalies quickly. For example, if someone wants to know the systemic associations of supernumerary punctum, it entails scanning of all the syndromes to note which of them reported the specific anomaly.
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