Lacrimal punctum
Punctum lacrimale
Definition
The lacrimal punctum is a small opening located on the summit of the lacrimal papilla at the medial end of each eyelid margin (i.e. near the medial canthus). These tiny openings serve as entry points to the lacrimal drainage system.
The superior lacrimal punctum drains into the superior lacrimal canaliculus
The inferior lacrimal punctum drains into the inferior lacrimal canaliculus
Function
Drain tears from the lacrimal lake into the lacrimal canaliculi
Essential for normal tear drainage from the ocular surface
Clinical correlates
Punctal stenosis can impair tear drainage causing epiphora.
Lacrimal puncta serve as important landmarks in lacrimal syringing and dacryocystography
References
TeachMeAnatomy (n.d.) Lacrimal gland. Available at: TeachMeAnatomy (Accessed: 13 May 2026).
Standring, S. (Ed.). (2015). Eye (Chapter 42). In Gray's anatomy: The anatomical basis of clinical practice (41st ed., pp. ). Churchill Livingstone.
Medscape (n.d.) Lacrimal system anatomy. Available at: Medscape (Accessed: 13 May 2026).