Department of Ophthalmology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
J Craniofac Surg. 2020 Nov/Dec;31(8):2302-2303. doi: 10.1097/SCS.0000000000006902.
We report a rare case of lacrimal ductal fistula in a patient who underwent esthetic lateral canthoplasty. A 37-year-old woman was referred to our hospital with tearing in right eye after cosmetic lateral canthoplasty of both eyes. The patient was treated with silicone tube intubation at a local medical center, but the symptoms were not resolved. Lacrimal sac irrigation tests and paranasal computed tomography (CT) were performed to analyze the possibility of lacrimal pathway obstruction. However, there was no evidence of acquired lacrimal duct stenosis. The teardrop leaked out through a small orifice in the right lateral canthal area and it increased in size over time. We identified lacrimal ductal fistula and performed lacrimal fistulectomy. The tearing at right lateral canthus area was resolved. There were no more recurrences nor any other complications 2 years after surgery.
我们报告了 1 例罕见的泪小管瘘病例，该患者曾行美容性外眦成形术。1 名 37 岁女性因双眼美容性外眦成形术后右眼溢泪来我院就诊。患者曾在当地医疗中心行硅胶管插管治疗，但症状未缓解。行泪囊冲洗试验和副鼻窦 CT 检查，以分析泪道阻塞的可能性。然而，没有发现获得性泪小管狭窄的证据。泪液通过右眼外眦区的一个小开口漏出，并且随着时间的推移漏口逐渐增大。我们诊断为泪小管瘘，并进行了瘘管切除术。右侧外眦溢泪症状得到解决。术后 2 年无复发，也无其他并发症。
