Management of bilateral congenital lacrimal punctal and canalicular atresia and congenital fistula of the lacrimal sac

An 8-year-old girl presented with complaints of bilateral epiphora since birth. The patient had congenital punctal and canalicular atresia combined with congenital fistula. She was treated successfully with surgery. A review of the literature indicated very few reports of surgical treatment of such cases.