Delhi Journal of Ophthalmology

Accessory Lower Lid Lacrimal Puncta

Smriti Sharma, Mandeep Tomar, Rajeev Tuli, Richa Dhiman, Maninder Singh, Ankush Sharma
Department of Ophthalmology Dr. Rajendra Prasad Government Medical College, Tanda Kangra, Himachal Pradesh, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Smriti Sharma MBBS, MS (3rd Year)
Department of Ophthalmology
Dr. Rajendra Prasad Government Medical
College, Tanda Kangra,
Himachal Pradesh-176001, India
Email id: simi.taurus30@gmail.com


Received: 28-AUG-2018 Accepted: 20-JAN-2019 Published Online: 05-MAY-2019
DOI: https://dx.doi.org/10.7869/djo.459

Abstract
A 40 year old female presented with a history of watering in her left eye for the last 6 months. Her visual acuity was 6/6 bilaterally. On slit lamp examination there were presence of 2 puncta on the left lower lid. One of the punctum was slit like and the other punctum was round. On syringing, it was found that both the puncta were patent. Fluorescence dye disappearance test was done which revealed early disappearance of dye from the left eye as compared to the right eye. Dacrocystography was done which showed single patent nasolacrimal duct.

Keywords :Double puncta, Watering, Syringing