Abstract
This is a report of a rare case of a lateral type of unilateral congenital lacrimal gland fistula with no systemic anomalies. A 7-year-old girl born of a second-degree consanguineous marriage presented to us with painless, watery discharge from a site close to the left lateral canthus, since early childhood, which increased on crying. There was no underlying swelling or a history of trauma or surgery. On examination, an opening was found 10 mm lateral to the left lateral canthus. Probe test confirmed a tract leading to the lacrimal gland. There were no other systemic or ocular abnormalities. Examination of her parents and the sibling revealed no abnormality. The fistula was excised under general anesthesia. Postoperatively, the child developed signs of inflammation of the left lacrimal gland which subsided with low-dose steroids and antibiotics. After 1 month, the child was asymptomatic, and the fistula had healed well.
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