Lid /Lashes/Lacrimal
Congenital lacrimal-cutaneous fistula.

  • Clinical features:
    • Can be seen externally as a small orifice inferior to the medial canthus
    • May be unilateral or bilateral
    • May be patent (with tears or discharges pooling or draining on the surrounding skin) or blunt as a blind sac
  • Management:
    • In a blind sac fistula, no treatment is required
    • In a patent fistula, surgical treatment to obliterate the fistula is necessary to prevent secondary infection

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