Dr.Kashyap Patel, Dr.Shreya Shah, Dr.Satyam Gupta, Dr.VIVEK KUMAR
Introduction: Congenital atresia of puncta, canaliculi along with lacrimal fistula rare condition.
Method: An 8-year-old girl presented with complaints of bilateral epiphora since birth.The patient had congenital punctal and canalicular atresia combined with congenital fistula. She was treated successfully with surgery by creating artificial passages, cannula and fistulectomy She was followed up for 12 years and she was symptom free.. A review of the literature indicated very few reports of surgical treatment of such cases.


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