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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We took interest in the case report of McCulley et al¹ pertaining to the ectopic site of lacrimal gland secretion. The patient described had a lacrimal ductule misdirected to the external eyelid. The authors comment that this is the first reported case of such a ductule of which they are aware. However, in 1980 a similar presentation was noted and termed a lacrimal gland fistula. ²

The patient in the earlier article² was an 8-year-old girl with a history of epiphora in the left eye since at least the age of 1 year. Whether this lacrimal gland fistula was congenital was questionable because the patient had a history of trauma to that eyelid at age 9 months. She had been evaluated multiple times for the epiphora, but it was not until the age of 7 years that the fistula was noted. Another surgeon treated the fistula at that time by excision . . . [Full Text of this Article]

Allen Putterman, MD; Marc Shields, MD
Chicago, Ill

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