Habaluyas Chrisha Faye, Ito Mayari, Takahashi Yasuhiro
Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan.
Ophthalmic Plast Reconstr Surg. 2025;41(4):e127-e128. doi: 10.1097/IOP.0000000000002892. Epub 2024 Dec 27.
A 55-year-old Japanese woman presented with a 2-year history of right-sided epiphora and mucoid discharge. Slit-lamp examination revealed the presence of an additional punctum in the medial canthus. Dacryoendoscopic examination was performed to assess the connectivity of the supernumerary punctum, confirming its direct communication with the upper lacrimal canaliculus. Fistulectomy was subsequently performed under local anesthesia with complete excision of the supernumerary punctum. Histopathological examination of the excised specimen revealed a fistula lined with stratified squamous epithelium, similar to the normal lacrimal canaliculus. At 6-month follow-up, symptoms resolved, and the supernumerary punctum was completely closed.
一名55岁的日本女性有2年右侧溢泪和黏液性分泌物的病史。裂隙灯检查发现内眦有一个额外的泪点。进行泪道内镜检查以评估多余泪点的连通性，证实其与上泪小管直接相通。随后在局部麻醉下进行瘘管切除术，完整切除多余泪点。切除标本的组织病理学检查显示瘘管内衬复层鳞状上皮，与正常泪小管相似。在6个月的随访中，症状消失，多余泪点完全闭合。
