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Congenital Common Canalicular Lacrimal Fistula in an Asymptomatic Patient

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1 Credit CME

A 24-year-old female patient presented after noticing a small hole at the inner corner of the eye that had been present since childhood. An isolated round opening with smooth and regular margins was found in the medial canthus (Figure). The upper and lower punctum were visible separately and were found patent on syringing and probing. The patient was asymptomatic and kept on observation.

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Article Information

Corresponding Author: Yogita Gupta, MD, DNB, MRCSEd, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Rajinder Nagar, Room 484, New Delhi 110060, India (dryogita.aiims@gmail.com).

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient for granting permission to publish this information.

References
1.
Welham  RA , Bergin  DJ .  Congenital lacrimal fistulas.   Arch Ophthalmol. 1985;103(4):545-548. doi:10.1001/archopht.1985.01050040087025PubMedGoogle ScholarCrossref
2.
François  J , Bacskulin  J .  External congenital fistulae of the lacrimal sac.   Ophthalmologica. 1969;159(4):249-261. doi:10.1159/000305922PubMedGoogle ScholarCrossref
3.
Chaung  JQ , Sundar  G , Ali  MJ .  Congenital lacrimal fistula: a major review.   Orbit. 2016;35(4):212-220. doi:10.1080/01676830.2016.1176052PubMedGoogle ScholarCrossref
4.
Al-Salem  K , Gibson  A , Dolman  PJ .  Management of congenital lacrimal (anlage) fistula.   Br J Ophthalmol. 2014;98(10):1435-1436. doi:10.1136/bjophthalmol-2013-304854PubMedGoogle ScholarCrossref
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