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Lacrimal system abnormalities

B D Moore1

  • 1Department of Ophthalmology, Children's Hospital, Boston, Massachusetts.

Optometry and Vision Science : Official Publication of the American Academy of Optometry
|March 1, 1994
PubMed
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Alacrima, or absent tearing, is a rare but challenging condition in infants, often linked to Riley-Day syndrome. Nasolacrimal duct obstruction is a common anomaly in children, with its presentation and treatment discussed.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Genetics

Background:

  • Abnormalities of the pediatric lacrimal system can present significant clinical challenges.
  • Alacrima, characterized by absent tearing, is a rare but difficult-to-manage condition in infants and young children.
  • Riley-Day syndrome is identified as the most frequent etiology of alacrima.

Purpose of the Study:

  • To review important abnormalities of the lacrimal system in pediatric patients.
  • To discuss the clinical presentation and management strategies for alacrima and nasolacrimal duct obstruction.

Main Methods:

  • Literature review of pediatric lacrimal system disorders.
  • Clinical case discussion focusing on alacrima and nasolacrimal duct obstruction.

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Main Results:

  • Alacrima, while rare, poses significant therapeutic difficulties.
  • Nasolacrimal duct obstruction is a prevalent anomaly in the pediatric population.
  • The report details the typical clinical appearance and treatment options for these conditions.

Conclusions:

  • Understanding pediatric lacrimal system abnormalities is crucial for effective diagnosis and treatment.
  • Timely intervention for conditions like nasolacrimal duct obstruction can improve patient outcomes.
  • Further research into rare conditions like alacrima may lead to improved management strategies.