The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Congenital Canaliculus Fistula

Photo by Dr. Tan Aik Kah

 

This 75 year-old man had had a left epiphora since childhood. The cause is a blockage of the common canaliculus and a lower canaliculus fistula. Syringing of the lower canaliculus showed  saline appearing on the skin through the fistula.

 

At the beginning of the syringing.

 

Saline appearing on the skin through the fistula.

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