My child has watering from above his left eye

Abstract

Lacrimal fistula can occur due to trauma, iatrogenic or congenital. The most common presentation in patients with congenital lacrimal fistula is epiphora or purulent discharge due to cystic dilatation from secondary infection.

Congenital lacrimal fistulas with secondary infection mimicking acute dacryocystitis: a case report and literature review

“…Most of the fistulas are asymptomatic, non-progressive and inconspicuous due to their small size and lack of pigmentation around, and therefore are frequently overlooked [12] . Symptomatic cases may present with epiphora or mucoid discharge from the fistula [8,13] , the eye or both when associated with functional or anatomical nasolacrimal duct obstruction. In very rare cases, the lacrimal fistulas suffer to secondary infection, and present redness, swelling and pain at the medial canthal region [3,12] , mimicking acute dacryocystitis.…”