Background: Obstruction of the nasolacrimal duct is the most common abnormality of the lacrimal system in childhood leading to epiphora. It is found in about 20% of newborns. If not treated in time, it may be complicated by recurrent conjunctivitis, chronic dacryocystitis, and lacrimal abscess formation. Objectives: To study the outcome and complications of probing for congenital nasolacrimal d...

purpose: to compare success rates of external dacryocystorhinostomy (dcr) with and without bicanalicular silicone intubation for management of primary acquired nasolacrimal duct obstruction. methods: in a randomized clinical trial study, 52 patients with primary acquired nasolacrimal duct obstruction underwent external dcr. patients were randomly enrolled into two groups. in the 1st group, exte...

Observation is a simple and reliable tool with the clinician. The level of tears, position of puncta, lids and eyelashes should be noted. Obstruction of the tear drainage system can be acquired or congenital, it is important to rule out acquired causes of tearing such as corneal, lid or lash abnormalities. Lacrimal obstruction problems can be divided as related to upper (puncta to lacrimal sac)...

Introduction Mucoceles are benign expansive cystic formations, composed of a mucus-secreting epithelium (respiratory or pseudostratified epithelium). Nasolacrimal mucocele occurs in a small proportion of children with nasolacrimal duct obstruction and is characterized by a cystic mass in the medial canthus with dilation of the nasolacrimal duct; although dacryocystoceles are rare in adults, the...

PURPOSE To evaluate the nasolacrimal duct reconstitution with radio frequency for restoration of lacrimal flow in cases of nasolacrimal duct obstruction. METHODS The procedure was carried out in 16 eyes of 16 patients (13 women and 3 men) by the same surgeon, with monopolar high-frequency device at 450 kHz and 150 W, with local anesthesia under sedation. Inclusion criteria were lower lacrimal...

PURPOSE Dacryoscintigraphy is widely known to be an effective modality in diagnosing abnormalities of the lacrimal system that cause epiphora (pathological overflow of tear). However, dacryoscintigraphy rarely serves beyond the simple diagnostic use for lacrimal duct obstruction. In our study, dacryoscintigraphy results of patients with functional lacrimal duct obstruction are newly classified ...

Developmental anomalies of the nasolacrimal drainage system typically manifest early in childhood with epiphora and occasionally infection. Although the majority of cases of congenital nasolacrimal obstruction resolve spontaneously with conservative medical management, certain anomalies require operative intervention. Included in this latter group are dacryocystoceles or nasolacrimal duct cysts...

Purpose The aim of this study was to describe high-resolution dacryoendoscopy findings for nasolacrimal duct obstruction (NLDO) in three representative pediatric cases with different etiologies. Observations In a case of congenital NLDO, a mucosal membranous obstruction was observed at the distal end of the nasolacrimal duct (NLD), and a slit-shaped opening of the NLD was observed after perfo...