2021年 · 第57卷第11期

Surgeon IntroductionLi Dongmei, professor, chief physician, doctoral supervisor. Director of the Department of Ophthalmology and Plastic Surgery, Beijing Tongren Eye Center, Beijing Tongren Hospital affiliated to Capital Medical University. President of the Asia Pacific Society of Ophthalmoplastic Surgery and member of the American Society of Ophthalmoplastic Surgery. Deputy Head of Ophthalmology and Orbitology Group of Ophthalmology Branch of Chinese Medical Association, Standing Committee Member of Ophthalmology Society of Chinese Women Physicians Association, Editorial Committee of Chinese Journal of Ophthalmology. Since 1993, he has specialized in clinical and scientific research of ophthalmoplastic surgery and cosmetic surgery. He has accumulated tens of thousands of surgical experience in clinical work and won many international and domestic awards.

The patient was a 20-year-old female. Because his right eye shed tears since childhood, he went to the Department of Ophthalmology of Bozhou Hospital of Traditional Chinese Medicine. Family history of hereditary disease denied. Eye examination: 1 fistula was found in the medial canthus of the right eye by slit lamp examination (Quintessence Picture 1In a). The patient took a sitting position to flush the lacrimal duct, and the flushing probe entered the lacrimal duct from the lower tear point. After injecting normal saline, a large amount of liquid and air bubbles flowed out from the fistula at the medial canthus (Quintessence Picture 1Middle B;Quintessence Video 1), no secretion overflow was seen, and no liquid flowed into the mouth and nose consciously; After fluorescein staining of the conjunctival sac, the lacrimal duct was flushed under slit lamp cobalt blue light, and traces of fluid flowing from the fistula at the medial canthus were clearly visible (Quintessence Picture 1Medium C; Quintessence Video 2). Clinical diagnosis: congenital lacrimal fistula in the right eye.