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Lacrimal hypersecretion in children
W N Clarke1, F Bastianelli, L P Noel
1Department of Ophthalmology, Children's Hospital of Eastern Ontario, Ottawa, Canada.
Insights
Paroxysmal lacrimal hypersecretion, characterized by intermittent tearing without infection, should be considered in pediatric epiphora cases. Recognizing this condition can prevent unnecessary procedures and associated risks in children.
Area of Science:
- Ophthalmology
- Pediatric Medicine
Background:
- Epiphora, or excessive tearing, is a common pediatric concern.
- Current diagnostic approaches may overlook intermittent tearing without discharge.
Purpose of the Study:
- To propose paroxysmal lacrimal hypersecretion as a differential diagnosis for pediatric epiphora.
- To highlight the importance of recognizing this entity to avoid unnecessary interventions.
Main Methods:
- Clinical observation and case review were utilized.
- The study focuses on the clinical presentation of intermittent tearing.
Main Results:
- Paroxysmal lacrimal hypersecretion presents as intermittent tearing without significant discharge or infection.
- This condition may be misdiagnosed, leading to inappropriate investigations.
Conclusions:
- Paroxysmal lacrimal hypersecretion should be included in the differential diagnosis of pediatric epiphora.
- Early recognition can prevent anesthetic morbidity and unnecessary nasolacrimal apparatus instrumentation.
Abstract:
To the differential diagnosis of epiphora in children we propose to add paroxysmal lacrimal hypersecretion. While certainly not a new entity, it should be considered in a child who is tearing intermittently without mattering or evidence of infection. Recognition of this problem may prevent anesthetic morbidity or unnecessary instrumentation of the nasolacrimal apparatus.