Dr.HARSHITA KRISHNA RAVELLA

, Dr.Ather Mohammed

Abstract

Purpose: Supernumerary punctum is a rarely reported congenital anomaly, in which there is more than one lacrimal punctum. It was First documented by Mackenzie in 1854. Supernumerary punctum is often overlooked on slit lamp examination.

Methods: Commonly Dacryocystography or Dacryoscintigraphy are used for evaluation. But we demonstrated an alternative method which is economical and easy to perform without radiation.

Results: A 60yr old asymptomatic female on routine ophthalmological examination was noticed with supernumerary punctum in right lower eyelid. We demonstrated patency of Nasolacrimal duct with tryphan blue dye by nasal endoscopy.

Conclusion: Syringying and Nasal endoscopy can be an adjunct in evaluating supernumerary punctum.