Objective: To describe the management of congenital lacrimal fistulas and to present two cases of congenital lacrimal fistulas with surgical resolution. A brief review of the literature. Patients and Methods: Two pediatric patients with congenital lacrimal fistulas were evaluated and treated surgically. Results: The surgical technique used in each case and its outcome are presented. Conclusion: Congenital lacrimal fistulas are developmental anomalies of the lacrimal system that can be symptomatic, causing epiphora or infections such as fistulas, dacryocystitis, or conjunctivitis. Resection of the fistulous tract alone or in conjunction with tear duct intubation or dacryocystorhinostomy are the surgical treatment options.

Objective: To present a patient with orbital cellulitis case report and an updated literature review. Background: Periorbital cellulitis is an infection of the superficial soft tissues anterior to the orbital septum; it is called orbital cellulitis when it affects structures posterior to this. Its etiology varies from sinusitis to local infections due to insect bites, trauma, or dissemination. Case Description: This is a 14-year-old patient with orbital cellulitis secondary to maxillary sinusitis that required intravenous antibiotic coverage and surgical drainage. Conclusion: Periorbital and orbital cellulitis are soft tissue infections that predominate in the pediatric population. The prognosis is favorable when the correct diagnosis and treatment are performed to prevent the severe complications of orbital cellulitis. Clinical Importance: Differentiating each entity is crucial for providing updated and timely treatment to the patient, as the resulting complications can be life-threatening.

Establishing the diagnosis of a disease that can impact the vision and life of a patient (such as keratoconus) is a moment of great responsibility. Therefore, ophthalmology has been looking for to integrate the results provided by the most recent high-tech equipment to try to develop a Super Index capable of determining the presence or absence of this disease with the lowest chance of error. The bad side of this strategy is the high cost of performing multiple and sophisticated exams. However, in moderate and advanced cases, the use of simple and cheap exams may be enough to diagnose keratoconus accurately. Therefore, a multimodal analysis based only on topography and pachymetry was suggested to determine if the disease exists or not, with good sensitivity and specificity. In this way, few patients (especially those with early stages of the disease) will need to be referred for a more detailed evaluation through expensive tests.