Double puncta canaliculi may exhibit different clinical presentations


Ucar I. C. , KARADAĞ R.

ARQUIVOS BRASILEIROS DE OFTALMOLOGIA, vol.83, no.3, pp.236-238, 2020 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 83 Issue: 3
  • Publication Date: 2020
  • Doi Number: 10.5935/0004-2749.20200063
  • Title of Journal : ARQUIVOS BRASILEIROS DE OFTALMOLOGIA
  • Page Numbers: pp.236-238

Abstract

In this paper, we describe two adult patients who presented with double lacrimal puncta: one of them was asymptomatic and incidentally diagnosed, and the other complained of epiphora. In both patients, unilaterality, preference for the lower lid, and location medial to the normal punctum were common features of the accessory punctum. In the asymptomatic patient, irrigation revealed no obstruction in the punctum or the nasolacrimal drainage system. By contrast, the other patient's nasolacrimal drainage system exhibited obstruction. Therefore, dacryocystorhinostomy surgery and silicone tube intubation were successfully performed. Double lacrimal puncta may be associated with epiphora or dry eye. These manifestations can easily be missed in a routine examination. This report was written to emphasize that unilateral epiphora of dry eye symptoms may be related to supernumerary punctum or canalicular systems and can easily be diagnosed with lid eversion.