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Lacrimal disease and surgery.

D R Meyer1

  • 1Albany Medical College, Lions Eye Institute, New York.

Current Opinion in Ophthalmology
|October 5, 1993
PubMed
Summary

Bothersome epiphora, or excessive tearing, can result from blockages in the lacrimal drainage system. This review covers the anatomy, pathology, and treatment of these common tear drainage disorders.

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Area of Science:

  • Ophthalmology
  • Anatomy
  • Physiology

Background:

  • The lacrimal drainage system, comprising the nasolacrimal duct, lacrimal sac, and canaliculi, is crucial for tear outflow.
  • Dysfunction of this system, including stenosis or obstruction, can lead to significant epiphora (excessive tearing).
  • Tear stasis resulting from these issues may also predispose individuals to ocular and adnexal infections.

Purpose of the Study:

  • To provide a comprehensive review of recent literature on lacrimal drainage system disorders.
  • To consolidate information on the anatomy, physiology, pathology, and clinical aspects of these conditions.
  • To highlight current evaluation, treatment, and complication management strategies.

Main Methods:

  • Literature review of recent scientific publications.
  • Synthesis of information regarding lacrimal drainage system function and dysfunction.
  • Analysis of clinical evaluation, treatment modalities, and associated complications.

Main Results:

  • Detailed review of the anatomical structures and physiological functions of the lacrimal drainage pathway.
  • Discussion of various pathologies leading to stenosis or obstruction within the system.
  • Exploration of the link between tear stasis and secondary infections.
  • Overview of diagnostic approaches and therapeutic interventions for lacrimal drainage disorders.

Conclusions:

  • Lacrimal drainage system disorders are common causes of epiphora and can lead to infections.
  • A thorough understanding of the system's anatomy, physiology, and pathology is essential for effective diagnosis and treatment.
  • Recent literature provides valuable insights into managing these conditions, improving patient outcomes.

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