Related Experiment Video
Updated: Jun 12, 2026
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
A case of bilateral lacrimal fistula associated with Down syndrome
Matthias Keserü1, Gisbert Richard, Peter Galambos
1Department of Ophthalmology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany. m.keserue@uke.uni-hamburg.de
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.
