J Korean Ophthalmol Soc > Volume 59(12); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(12):1181-1184.
DOI: https://doi.org/10.3341/jkos.2018.59.12.1181    Published online December 15, 2018.
A Case of Congenital Lacrimal Ductule Fistula on Lateral Skin to the Right Upper Eyelid.
Ga Hee Han, In Kwon Chung, Do Hyung Lee, Jin Hyoung Kim, Ji Won Seo
Department of Ophthalmology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. jiwonidat@naver.com
우측 윗눈꺼풀 외측 피부에서 발견된 선천 눈물샘소관 샛길 1예
한가희⋅정인권⋅이도형⋅김진형⋅서지원
인제대학교 의과대학 일산백병원 안과학교실
Correspondence:  Ji Won Seo,
Email: jiwonidat@naver.com
Received: 19 July 2018   • Revised: 30 September 2018   • Accepted: 25 November 2018
Abstract
PURPOSE
To present a rare case of tear drainage since birth from a lacrimal ductule fistula, which is the first report in the Republic of Korea. CASE SUMMARY: 3-month-old female who presented with discharge of clear fluid from a small skin opening lateral to the right upper eyelid since birth visited the outpatient clinic. The patient was healthy and was receiving no medication. She was born on gestation age 35 weeks and 3 days. No other specific history or other ophthalmic abnormality was found. On examination, a small skin orifice approximately 2 mm diameter and no sign of infection or discoloration was observed. To relieve this symptom, the patient underwent a fistulectomy under general anesthesia. Histopathological examination of the surgical specimen was performed. The patient's symptom subsided postoperatively without recurrence. CONCLUSIONS: This is the first report in the Republic of Korea of tears draining from a lacrimal ductule fistula since birth and the subsequent clinical treatment procedures.
Key Words: Congenital abnormality;Lacrimal ductule fistula;Lacrimal gland


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