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Allergic lacrimal obstruction.

T H Wojno1

  • 1Department of Ophthalmology, Emory Eye Center, Atlanta, GA 30322.

American Journal of Ophthalmology
|July 15, 1988
PubMed
Summary
This summary is machine-generated.

Ocular allergy can cause temporary tear duct blockage due to rubbing. Cromolyn sodium eyedrops and avoiding rubbing resolved this blockage in patients with allergic eye disease.

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Area of Science:

  • Ophthalmology
  • Allergology

Background:

  • Ocular allergy frequently causes pruritus, leading to periocular tissue rubbing.
  • This rubbing can induce mucosal edema, potentially obstructing the lacrimal drainage system.

Purpose of the Study:

  • To investigate the link between ocular allergy, periocular rubbing, and temporary lacrimal sac/canaliculus obstruction.
  • To evaluate the efficacy of cromolyn sodium eyedrops and behavioral modification in treating this condition.

Main Methods:

  • Observational study of five patients with ocular allergy and epiphora.
  • Treatment involved topical cromolyn sodium eyedrops and patient education to cease periocular rubbing.

Main Results:

  • All five patients experienced temporary obstruction of the lacrimal sac or canaliculus.

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  • Obstruction was attributed to rubbing-induced mucosal edema.
  • Treatment with cromolyn sodium and cessation of rubbing led to resolution of symptoms.

    • Conclusions:

    • Periocular rubbing in ocular allergy can lead to reversible lacrimal drainage obstruction.
    • Pharmacological inhibition of allergic inflammation and behavioral modification are effective treatments.