A Case of a Congenital Lacrimal Outflow Dysgenesis with Supernumerary Lacrimal Puncta.

Chun, Ji Woong; Yang, Seong Won

doi:2013.54.6.958

J Korean Ophthalmol Soc > Volume 54(6); 2013 > Article

Case Report

Journal of the Korean Ophthalmological Society 2013;54(6):958-961.
DOI: https://doi.org/10.3341/jkos.2013.54.6.958 Published online June 15, 2013.

A Case of a Congenital Lacrimal Outflow Dysgenesis with Supernumerary Lacrimal Puncta.

Ji Woong Chun, Seong Won Yang

Department of Ophthalmology, Chosun University College of Medicine, Gwangju, Korea. master@eyedoctors.co.kr

선천성 눈물소관 생성부전 1예

천지웅⋅양성원

Department of Ophthalmology, Chosun University College of Medicine, Gwangju, Korea

Abstract

PURPOSE
To report a case of congenital lacrimal outflow dysgenesis with supernumerary lacrimal puncta. CASE SUMMARY: A 45-years-old woman presented with chronic bilateral epiphora with no specific medical history. Slit-lamp examination revealed bilateral upper and lower double puncta. The accessory puncta were situated along the lid margin, medial to the normal one and had a typical slit configuration. Additionally, there was a lower canalicular system block that appeared unresponsive to simple probing. Bilateral endoscopic conjunctivodacryocystorhinostomy with Jones tube was performed. Chronic bilateral epiphora was relieved after bilateral endoscopic conjunctivodacryocystorhinostomy with Jones tube. CONCLUSIONS: A case of congenital lacrimal outflow dysgenesis with supernumerary lacrimal puncta was observed, which has not been previously reported in Korea. Surgical repair of the congenital lacrimal outflow dysgenesis with supernumerary lacrimal puncta should be considered to achieve a functional recovery of the lacrimal drainage system.

Key Words: Congenital lacrimal outflow dysgenesis;Supernumerary lacrimal puncta