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A Case of Velocardiofacial Syndrome With Bilateral Inferior Punctum and Canalicular Agenesis

Lemaitre, Stéphanie, M.D., Ph.D., F.E.B.O.*,†; Sarandeses Diez, Teresa, M.D.; Gonzalez-Candial, Miguel, M.D., Ph.D.

Ophthalmic Plastic & Reconstructive Surgery: May/June 2019 - Volume 35 - Issue 3 - p e80–e81
doi: 10.1097/IOP.0000000000001379
Case Reports

A 16-year-old girl diagnosed with velocardiofacial syndrome complained of occasional bilateral ocular discharge. Examination revealed an agenesia of the inferior puncti and canaliculi, while the irrigation through the superior puncta was patent on both sides. Dacryocystorhinostomy with insertion of Lester Jones tubes is not considered for the time being because of the absence of epiphora. To the best of the authors’ knowledge, this is the second reported case of lacrimal system agenesia in velocardiofacial syndrome.

The authors report an exceptional case of bilateral agenesia of the inferior proximal lacrimal system as part of velocardiofacial syndrome.

*Institut d’Investigació Biomèdica de Girona Dr. Josep Trueta, Parc Hospitalari Martí i Julià de Salt

Ophthalmology Department, Hospital Universitari de Girona Dr. Josep Trueta, Girona, Spain.

Accepted for publication March 5, 2019.

The authors have no financial or conflicts of interest to disclose.

Address correspondence and reprint requests to Stéphanie Lemaitre, M.D., Ph.D., F.E.B.O., Ophthalmology Department, Hospital Universitari de Girona Dr. Josep Trueta, Avinguda de França s/n, 17007 Girona, Spain. E-mail:

© 2019 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.