title: Monocanalicular intubation for dacryostenosis in oculo-auriculo-vertebral dysplasia (hemifacial microsomia) with congenital corneal anesthesia.
abstract: OBJECTIVE
  To present a case of oculo-auriculo-vertebral dysplasia associated with corneal anesthesia and ipsilateral dacryostenosis that was successfully treated with monocanalicular lacrimal intubation.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  Previous neurotrophic corneal ulcers in a child with hemifacial microsomia had become secondarily infected from a stagnant tear lake, resulting in significant corneal scarring and visual loss. A single monocanalicular stent maintained nasolacrimal patency without causing further corneal trauma, despite constant medial gaze because of wide lateral tarsorrhaphy and contralateral occlusion therapy for amblyopia.
  
  
  CONCLUSIONS
  Monocanalicular stents may aid the treatment of dacryostenosis in the face of compromised corneal sensation.
authors.affiliation: Department of Ophthalmology, Madigan Army Medical Center, Tacoma, Washington 98431, USA.
authors.forename: R A
authors.initials: RA
authors.lastname: Mazzoli
authors.forename: W R
authors.initials: WR
authors.lastname: Raymond
authors.forename: D J
authors.initials: DJ
authors.lastname: Ainbinder
authors.forename: E A
authors.initials: EA
authors.lastname: Hansen
authors.forename: V C
authors.initials: VC
authors.lastname: Parmley
authors.forename: E C
authors.initials: EC
authors.lastname: Skidmore
mesh_terms: D000015:Abnormalities, Multiple; D002675:Child, Preschool; D003315:Cornea / Q000294:innervation; D003316:Corneal Diseases / Q000151:congenital*; D005146:Facial Asymmetry / Q000151:congenital*; D005260:Female; D006801:Humans; D006987:Hypesthesia / Q000151:congenital*; D007440:Intubation; D007767:Lacrimal Duct Obstruction / Q000151:congenital / Q000628:therapy*; D009301:Nasolacrimal Duct / Q000002:abnormalities