|Year : 2020 | Volume
| Issue : 1 | Page : 205
Characterizing supernumerary lacrimal punctum by anterior segment optical coherence tomography imaging
Joyeeta Das1, Nibedita Das2
1 Department of Orbit and Oculoplasty, Disha Eye Hospital, Kolkata, West Bengal, India
2 Department of Cornea and Ocular Surface, Disha Eye Hospital, Kolkata, West Bengal, India
|Date of Web Publication||19-Dec-2019|
Dr. Joyeeta Das
176 Madurdaha, Jeet Solitaire, Flat No 3B, Kolkata - 700 107, West Bengal
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Das J, Das N. Characterizing supernumerary lacrimal punctum by anterior segment optical coherence tomography imaging. Indian J Ophthalmol 2020;68:205
|How to cite this URL:|
Das J, Das N. Characterizing supernumerary lacrimal punctum by anterior segment optical coherence tomography imaging. Indian J Ophthalmol [serial online] 2020 [cited 2020 Apr 9];68:205. Available from: http://www.ijo.in/text.asp?2020/68/1/205/273255
Supernumerary puncta is an uncommon congenital anomaly where multiple puncta are present in one eyelid formed by multiple epithelial budding of lacrimal cord opening along canaliculus, caruncle, and conjunctiva during embryogenesis.,
Slit-lamp examinations of left lower lid found presence of two puncta [Figure 1]a of a 44-year-old gentleman. Spectral domain anterior-segment OCT [SD-ASOCT] imaging of puncta  by RTVue model-RT100 CAM -system [Optovue Inc., Fremont CA, USA] showed two funnel shaped tissue gap corresponding cross-sectional image of supernumerary puncta [Figure 1]b. To the best of our knowledge, this is the first report of AS-OCT of supernumerary puncta in medical literature.
|Figure 1: (a) Slit-lamp photography of supernumerary puncta of left eye lower lid, normal healthy puncta [black solid arrow], supernumerary puncta [solid white arrow]. (b) Cross-sectional image of both puncta obtained by AS-OCT, the deep funnel shaped hyporeflective spaces [solid white arrow] is normal healthy puncta. The hyperreflective epithelium of lid margin is continuous in both wall but abruptly thinned out at the margin of opening at temporal wall though nasal wall epithelium maintain its thickness throughout whole vertical depth. The shallow creeping edged tissue gap buried in the lid margin defines supernumerary puncta [asterix]. Here, lid margin epithelium is discontinuous in both the wall|
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
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