{"title":"泪内窥镜下连接上泪小管的内眦多余点的确认。","authors":"Chrisha Faye Habaluyas, Mayari Ito, Yasuhiro Takahashi","doi":"10.1097/IOP.0000000000002892","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Dacryoendoscopic Confirmation of Supernumerary Punctum in the Medial Canthus Connecting to the Upper Lacrimal Canaliculus.\",\"authors\":\"Chrisha Faye Habaluyas, Mayari Ito, Yasuhiro Takahashi\",\"doi\":\"10.1097/IOP.0000000000002892\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":19588,\"journal\":{\"name\":\"Ophthalmic Plastic and Reconstructive Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-12-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ophthalmic Plastic and Reconstructive Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/IOP.0000000000002892\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ophthalmic Plastic and Reconstructive Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/IOP.0000000000002892","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Dacryoendoscopic Confirmation of Supernumerary Punctum in the Medial Canthus Connecting to the Upper Lacrimal Canaliculus.
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.
期刊介绍：
Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.
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