Ucar Ipek Cigdem, Karadag Remzi
Department of Ophthalmology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.
Arq Bras Oftalmol. 2020 Jun;83(3):236-238. doi: 10.5935/0004-2749.20200063. Epub 2020 May 29.
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.
在本文中，我们描述了两名患有双泪点的成年患者：其中一名无症状，偶然被诊断出来，另一名则主诉溢泪。在这两名患者中，单侧性、下睑偏好以及位于正常泪点内侧是副泪点的共同特征。在无症状的患者中，冲洗显示泪点或鼻泪引流系统无阻塞。相比之下，另一名患者的鼻泪引流系统存在阻塞。因此，成功进行了泪囊鼻腔吻合术和硅胶管插管。双泪点可能与溢泪或干眼有关。这些表现很容易在常规检查中被遗漏。撰写本报告是为了强调干眼症状的单侧溢泪可能与多余泪点或泪小管系统有关，并且通过翻转眼睑很容易诊断。
