Case report of conjunctival sac fistula after cosmetic lateral canthoplasty

Abstract Background To report a case of conjunctival sac fistula after cosmetic lateral canthoplasty which is rare. Case presentation A young women who underwent bilateral canthoplasty appeared with lacrimation of the right eye. We found there was a skin fistula with transparent tears at 2 mm latera...

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Bibliographic Details
Main Authors: Weili Zhang, Qinying Huang, Jinying Li
Format: Article
Language:English
Published: BMC 2020-04-01
Series:BMC Ophthalmology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12886-020-01402-3
Description
Summary:Abstract Background To report a case of conjunctival sac fistula after cosmetic lateral canthoplasty which is rare. Case presentation A young women who underwent bilateral canthoplasty appeared with lacrimation of the right eye. We found there was a skin fistula with transparent tears at 2 mm lateral to the right canthus ligament and the liquid containing fluorescein was seen to overflow at the fistula after using fluorescein sodium eye drops. The number 7 lacrimal duct probe was visible under the temporal conjunctiva when exploring the fistula, and the fistula was about 4 mm. The patient was diagnosed with conjunctival sac fistula and fistula excision was performed. The patient did not tear abnormally after observation 3 months later and the incision healed well. Conclusions The case report illustrates an uncommon post-lateral canthoplasty complication. We suggested that surgeons who perform this kind of surgery should ask about epiphora and look for conjunctival sac fistula at follow-up assessment.
ISSN:1471-2415