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Congenital Common Canalicular Lacrimal Fistula in an Asymptomatic Patient

To identify the key insights or developments described in this article
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
AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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