Eversion of the lacrimal punctum

Eversion of the lacrimal punctum (eversio puncti lacrimalis; synonym: eversion of the lacrimal punctum) is a pathological condition in which the lacrimal punctum turns outward.

The lacrimal punctum is a small hole located on the edge of the eyelids, through which tear fluid is drained into the lacrimal ducts. When the lacrimal punctum is everted, its normal location is disrupted and it turns outward.

Causes of eversion of the lacrimal opening can be congenital developmental anomalies, trauma and inflammatory diseases of the lacrimal ducts. Clinically, this is manifested by lacrimation, eye irritation, and unpleasant sensations.

Diagnosis of punctal eversion is based on visual examination. Treatment is mainly surgical and is aimed at restoring the normal position of the lacrimal opening. Various plastic surgery methods are used.

In some cases, conservative treatment using eye drops and ointments is possible. The prognosis with timely treatment is favorable. In advanced cases, complications may develop in the form of inflammatory processes.