title: Lacrimal gland fistula after cosmetic lateral canthoplasty.
abstract: BACKGROUND
  We report a case of lacrimal gland fistula formation after cosmetic lateral canthoplasty in a young Asian woman.
  
  
  METHODS
  A 34-year-old woman, who twice underwent lateral canthoplasties of both eyes with additional upper eyelid blepharoplasty, developed clear fluid discharge from a small draining tract near the lateral canthus after being operated on with cosmetic lateral canthoplasty. Assuming that lacrimal gland fistula has developed, we differentiated the tract from the lacrimal gland using a Bowman probe and performed lacrimal gland fistulectomy, which resolved the discharge, leaving no complications.
  
  
  CONCLUSIONS
  To our knowledge, this is the first case of lacrimal gland fistula after cosmetic lateral canthoplasty, and surgeons performing this procedure should be aware of lacrimal gland herniation and fistula tract formation, especially in patients who have undergone multiple eyelid surgeries.
authors.affiliation: Department of Ophthalmology and Visual Science, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
authors.forename: Ye Jin
authors.initials: YJ
authors.lastname: Ahn
authors.forename: Su Kyung
authors.initials: SK
authors.lastname: Jung
authors.forename: Ji Sun
authors.initials: JS
authors.lastname: Paik
authors.forename: Suk-Woo
authors.initials: SW
authors.lastname: Yang
mesh_terms: D000328:Adult; D019882:Blepharoplasty / Q000009:adverse effects*; D017577:Cutaneous Fistula / Q000209:etiology* / Q000601:surgery; D005143:Eyelids / Q000601:surgery; D005260:Female; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007765:Lacrimal Apparatus / Q000601:surgery; D007766:Lacrimal Apparatus Diseases / Q000209:etiology* / Q000601:surgery