We took interest in the case report of McCulley et al1 pertainingto the ectopic site of lacrimal gland secretion. The patient described hada lacrimal ductule misdirected to the external eyelid. The authors commentthat this is the first reported case of such a ductule of which they are aware.However, in 1980 a similar presentation was noted and termed a lacrimal gland fistula.2
Putterman A, Shields M. Lacrimal Gland Fistula. Arch Ophthalmol. 2004;122(5):791. doi:10.1001/archopht.122.5.791-a
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