Congenital nasolacrimal duct occlusion with clinical anophthalmos: a possible new association.

PURPOSE

To report the association of congenital nasolacrimal duct occlusion and clinical anophthalmos in an eight-year-old girl.

METHODS

A case report. The patient suffered from epiphora and clinical anophthalmos on the right side since birth. This paper presents the clinical presentation, workup, and surgical approach of the case.

RESULTS

The nasolacrimal system of the patient was occluded on irrigation. Computed tomography showed a blockage at the level of the sac-duct junction, an enlarged nasolacrimal duct below the obstruction, and a sclera-like ball of tissue surrounded by extraocular muscles in the right orbit. Treatment included a right bicanalicular silicon intubation performed under general anesthesia.

CONCLUSION

This case may represent a new association that has not been previously reported.