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Updated: May 24, 2026
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Congenital nasolacrimal duct obstruction: delineation of anatomic abnormalities with 3-dimensional reconstruction
Avery H Weiss1, Francine Baran, John Kelly
1Roger Johnson Clinical Vision Laboratory, Seattle Children’s Hospital, and Department of Ophthalmology, University of Washington Medical Center, Seattle, WA 98105, USA. avery.weiss@seattlechildrens.org
Objective:
To characterize anatomical abnormalities of the distal nasolacrimal duct (NLD) in children with congenital obstruction using high-resolution computed tomographic imaging.
Methods:
The anatomy of the bone and soft tissue of the NLD and the postductal anatomy of the inferior meatus in 6 children with a wide spectrum of NLD obstructions were imaged by computed tomographic scans and then reconstructed in a 3-dimensional viewer. Images were taken from prior axial (5 children) or coronal (1 child) computed tomographic facial scans at 0.625- or 1.25-mm mm resolution, respectively.
Results:
The axial computed tomographic images and 3-dimensional reconstructions showed bony obstructions of the distal NLD in 3 children, membranous obstructions of the distal NLD in 1 child, and a postductal obstruction in the inferior meatus in 1 child. One child had a combined soft tissue obstruction of the NLD and post-NLD obstruction.
Conclusions:
This study provides anatomic evidence of a bony or membranous obstruction at the distal portion of the NLD or of a postductal obstruction at the inferior meatus in children with congenital NLD obstruction.
