A Case of Bilateral Lacrimal Fistula Associated with Down Syndrome

Abstract

Introduction: Congenital lacrimal fistulae are a developmental disorder and can be associated with other hereditary developmental diseases.

Case report: A patient with Down syndrome presented with events of recurrent dacryocystitis and lacrimal fistulation on 1 eye. A DCR surgery with excision of a fistula had been performed 2 years before. The investigation under general anesthesia also revealed a clinically unrecognized lacrimal fistula on the contralateral side.

Comment: The case report documents a unique case of bilateral congenital lacrimal fistulae in association with Down syndrome. Dacryocystitis in patients with Down syndrome could result from a congenital lacrimal fistula.

KEYWORDS::

• Lacrimal fistula
• Down syndrome
• Dacryocystitis

Declaration of interest: All authors report no conflict of interest. The authors alone are responsible for the content and writing of the paper.