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Double puncta canaliculi may exhibit different clinical presentations.
Arq Bras Oftalmol. 2020 06; 83(3):236-238.AB

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.

Authors+Show Affiliations

Department of Ophthalmology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.Department of Ophthalmology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32490979

Citation

Ucar, Ipek Cigdem, and Remzi Karadag. "Double Puncta Canaliculi May Exhibit Different Clinical Presentations." Arquivos Brasileiros De Oftalmologia, vol. 83, no. 3, 2020, pp. 236-238.
Ucar IC, Karadag R. Double puncta canaliculi may exhibit different clinical presentations. Arq Bras Oftalmol. 2020;83(3):236-238.
Ucar, I. C., & Karadag, R. (2020). Double puncta canaliculi may exhibit different clinical presentations. Arquivos Brasileiros De Oftalmologia, 83(3), 236-238. https://doi.org/10.5935/0004-2749.20200063
Ucar IC, Karadag R. Double Puncta Canaliculi May Exhibit Different Clinical Presentations. Arq Bras Oftalmol. 2020;83(3):236-238. PubMed PMID: 32490979.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Double puncta canaliculi may exhibit different clinical presentations. AU - Ucar,Ipek Cigdem, AU - Karadag,Remzi, Y1 - 2020/05/29/ PY - 2019/04/26/received PY - 2019/08/15/accepted PY - 2020/6/4/entrez PY - 2020/6/4/pubmed PY - 2020/9/18/medline SP - 236 EP - 238 JF - Arquivos brasileiros de oftalmologia JO - Arq Bras Oftalmol VL - 83 IS - 3 N2 - 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. SN - 1678-2925 UR - https://www.unboundmedicine.com/medline/citation/32490979/Double_puncta_canaliculi_may_exhibit_different_clinical_presentations_ L2 - https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492020000300012&lng=en&nrm=iso&tlng=en DB - PRIME DP - Unbound Medicine ER -