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 Table of Contents    
CLINICAL IMAGE
Year : 2020  |  Volume : 13  |  Issue : 3  |  Page : 171-172  

My child has watering from above his left eye


Department of Ophthalmology, Chacha Nehru Bal Chikitsalaya, Geeta Colony, New Delhi, India

Date of Submission23-Sep-2019
Date of Decision08-Apr-2020
Date of Acceptance06-Sep-2020
Date of Web Publication2-Nov-2020

Correspondence Address:
Dr. Meenakshi Wadhwani
Assistant professor, Department Of Ophthalmology, Chacha Nehru Bal Chikitsalaya, Geeta Colony, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.OJO_218_2019

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   Abstract 


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.

Keywords: Aberrant, fistula, lacrimal


How to cite this article:
Wadhwani M, Manika M. My child has watering from above his left eye. Oman J Ophthalmol 2020;13:171-2

How to cite this URL:
Wadhwani M, Manika M. My child has watering from above his left eye. Oman J Ophthalmol [serial online] 2020 [cited 2020 Dec 5];13:171-2. Available from: https://www.ojoonline.org/text.asp?2020/13/3/171/299782



Congenital lacrimal fistulas are very rare anomalies. The most common site of presentation is temporal to the lateral canthus followed by the presentation at midline of the upper lid just above the tarsal plate and lateral to midline.[1],[2] We hereby report a case of congenital lacrimal fistula presenting at superolateral aspect of left orbit suggesting the presence of aberrant lacrimal ductules.

A 6-month-old male baby brought by his mother our outpatient department with the complaint of constant watering since birth from his left eye (OS) and from the above side of his left eye. The watering increased from both sites (eye as well as external orifice) with crying. On examination, ROPLAS was positive. A small round opening of about ½-mm size was seen above and lateral to the external canthus. Few hairs were present on the skin around the orifice. There was no tenderness, redness, and swelling around the orifice. Rest of the anterior segment was normal in the left eye. Ocular examination in the right eye (OD) was unremarkable [Figure 1]. Biochemical examination of the fluid coming out from the orifice revealed same constitution as of the tears. The patient was advised Crigler's massage and some invasive investigations such as radiological examination after injection of radio-opaque dye in the orifice. The patient's attendant denied radiological examination and continued Crigler's massage for 3 months. Watering from the eye subsided with Crigler's massage, but that of from the orifice from the above side of the eye persisted. The patient has been advised surgical correction of this orifice at 2–3 years of age.
Figure 1: A small fistulous opening lateral to the external canthus of the left eye

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Sinha A, Rahman A. Aberrant fistula of the lacrimal gland. Indian J Ophthalmol 1983;31:75-6.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
McCulley TJ, Yip C, Kersten RC, Kulwin DR. An ectopic site of lacrimal gland secretion mimicking epiphora. Arch Ophthalmol 2002;120:1586-7.  Back to cited text no. 2
    


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