DR. JIGNA MOTWANI

Dr. PRAVEENA KHER

Abstract

Background- Congenital lacrimal fistulae are rare developmental anomalies of the lacrimal drainage system. These are epithelium lined tracts which establish a direct communication between skin and the lacrimal tract. They are mostly asymptomatic, some may present with epiphora, mucopurulent discharge or rarely dacryocystitis. We report a case with this rare diagnosis.

Case description- A 7 year old female came with excessive tearing from left eye since 3 months. On evaluation, an orifice was found on the inferomedial aspect of medial canthus of the left eye. We confirmed the diagnosis as congenital lacrimal fistula of unilateral type and ruled out systemic and familial association.

Management- Since symptomatic, fistulectomy was performed and the surgery went uneventful. The patient had no relapse of symptoms till the last follow-up.

Conclusion-The rare congenital lacrimal fistula was timely diagnosed and managed well.

Keywords: Congenital Lacrimal fistula, fistulectomy, epiphora