Double lacrimal puncta: Three cases

Abstract

Supernumerary puncta are uncommon lacrimal anomalies. Besides being a rare condition, it is usually overlooked. In this study, we report 3 cases of supernumerary lacrimal puncta. While two patients presented with epiphora; one patient was asymptomatic. In biomicroscopic examination, two lacrimal puncta on the lower lid were observed. A supernumerary punctum should be considered in patients with excessive tearing. Supernumerary puncta may alter the efficacy of topical medications, therefore, patients need to be informed about this rare anomaly.