An Unusual Case of Double Lacrimal Puncta.

Song, Won Seok; Choi, Hyun Sup; Choi, Youn Joo

doi:2019.60.2.187

J Korean Ophthalmol Soc > Volume 60(2); 2019 > Article

Case Report

Journal of the Korean Ophthalmological Society 2019;60(2):187-189.
DOI: https://doi.org/10.3341/jkos.2019.60.2.187 Published online February 15, 2019.

An Unusual Case of Double Lacrimal Puncta.

Won Seok Song, Hyun Sup Choi, Youn Joo Choi

Department of Ophthalmology, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea. ophdrchoi@gmail.com

선천 이중눈물점 환자 1예

송원석⋅최현섭⋅최연주

한림대학교 강동성심병원 안과학교실

Correspondence: Youn Joo Choi,
Email: ophdrchoi@gmail.com

Received: 5 July 2018 • Revised: 25 August 2018 • Accepted: 19 January 2019

Abstract

PURPOSE
Congenital double puncta are usually unilateral, and the accessory punctum exists on the medial side in a slit configuration that is distinct from the shape of the normal punctum. We report a case of an unusual case of double lacrimal puncta which the lateral, rather than the medial, punctum was judged to be the accessory punctum. CASE SUMMARY: A 39-year-old male patient with no underlying disease and no ophthalmologic history visited our clinic with right eye epiphora of 2 weeks duration. On slit lamp examination, double puncta were observed in the right lower eyelid and the remaining puncta were normal. On lacrimal syringing test and dacryocystography were performed and revealed incomplete obstruction with partial narrowing of the nasolacrimal duct. Silicone tube intubation was performed through the right lower medial punctum and symptoms improved postoperatively. CONCLUSIONS: The present case is an unusual case of double lacrimal puncta which has not been reported in Korea. Unlike the previous literature, the lateral, rather than the medial, punctum was judged to be the accessory punctum. Because accessory punctm can be present on the lateral side, it is necessary to distinguish between the accessory punctm and the main punctum through the accurate dacryocystography and lacrimal syringing test for the treatment of the patient.

Key Words: Accessory punctum;Double lacrimal puncta;Lacrimal punctum