Apparently congenital ectopic lacrimal gland secretion sites are notas uncommon as we believed.1 In additionto similar cases described and reviewed by Dr Cogen,2,3 wehave been made aware of an unpublished case managed by a colleague. Althoughthe case described by Drs Putterman and Shields4 wastemporally associated with trauma, its resemblance suggests that the patientlikely had a similar congenital defect.
McCulley TJ. Lacrimal Gland Secretion MimickingEpiphora—Reply. Arch Ophthalmol. 2004;122(5):791-792. doi:10.1001/archopht.122.5.791-d