Lacrimal fistula digital illustration

Lacrimal fistula Save


ICD-10 code: H04.61

Chapter: Diseases of the eye and adnexia

Lacrimal Fistula: Causes, Symptoms, and Treatment

Lacrimal fistula is a rare condition that occurs when there is an abnormal connection between the tear duct and the skin around the eye. This condition can cause tears to flow out of the eye and drain through the skin instead of through the tear ducts. In this article, we’ll look at the causes, symptoms, and treatment options for lacrimal fistula.

Causes of Lacrimal Fistula

Lacrimal fistula is usually caused by trauma to the eye or the surrounding area. This can include injuries to the tear ducts or infections that spread to the area around the tear ducts. In some cases, lacrimal fistula can be caused by a congenital abnormality, meaning that the condition is present at birth.

Symptoms of Lacrimal Fistula

The most common symptom of lacrimal fistula is persistent tearing from the affected eye. This is because tears are not able to drain properly through the tear ducts and instead flow out through the abnormal connection to the skin. Other symptoms may include swelling, redness, and discharge from the affected area.

Treatment Options for Lacrimal Fistula
  1. Observation: In some cases, lacrimal fistula may heal on its own without any treatment. Your doctor may recommend monitoring the condition and waiting to see if it improves over time.
  2. Antibiotics: If the lacrimal fistula is caused by an infection, your doctor may prescribe antibiotics to clear up the infection and prevent it from spreading.
  3. Surgical repair: If the lacrimal fistula is causing persistent tearing or other symptoms, your doctor may recommend surgery to repair the abnormal connection between the tear duct and the skin. The surgery is typically performed under local anesthesia and involves closing the abnormal connection and reestablishing normal tear drainage.

If you are experiencing persistent tearing or other symptoms around your eye, it is important to see a doctor for an evaluation. Your doctor can help determine the underlying cause of your symptoms and recommend the best treatment options for your particular situation.

Conclusion

Lacrimal fistula is a rare condition that can cause persistent tearing and other symptoms around the eye. It is usually caused by trauma or infection, although it can also be present at birth in some cases. Treatment options may include observation, antibiotics, or surgical repair, depending on the underlying cause of the condition. If you are experiencing symptoms of lacrimal fistula, it is important to see a doctor for an evaluation and appropriate treatment.