EyeRounds Online Atlas of Ophthalmology
Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Prof of Ophthalmology-U of Rochester School of Medicine and Dentistry
Category: Systemic Disorders
Diagnosis: Congenital absence of the lacrimal puncta associated with alacrima and aptyalism OU

Image Comments:
This is a patient with an extremely rare syndrome: congenital absence of all 4 puncta ( agenesis ) alacrima and aptyalism ( absence or marked deficiency in saliva secretion ). Because of the aptyalism, the young patient was under research evaluation and treatment at the world-renowned Eastman Dental Dispensary of the University of Rochester School of Medicine and Dentistry. Lack of saliva leads to a profound caries problem. Other members of the family have the same syndrome. Reference: Caccamise and Townes ( geneticist ), Congenital absence of the lacrimal puncta associated with alacrima and aptyalism. Am. J. Ophthalmol. 89: 62, 1980.

agenesis of all puncta OU


 
 
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