Surgical Treatment for Epiphora: Do not Overlook the Lacrimal Gland

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Epiphora and the bony naso-lacrimal canal.

IT is possible to obtain a radiographic view of the naso-lacrimal canal "end-on" by directing a beam of x-rays down the axis of the canal to a film held horizontally in the mouth: the centre of the film is placed near the site of the first molar tooth (Brunetti, 1930; Kopylow, 1930; Toth, 1933), or the second pre-molar. Examples of such radiographs are shown in Figs 1, 2, and 3. The present inv...

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Lacrimal scintigraphy. II. Its role in the diagnosis of epiphora.

Lacrimal scintigraphy (LS) was performed in 860 lacrimal drainage systems (LDS) in 188 patients with bilateral epiphora and 226 patients with unilateral epiphora. A very high incidence of canalicular obstruction was found in these patients, the incidence being higher in the group with unilateral epiphora. It is suggested that a canalicular block is a commoner cause of obstructive epiphora than ...

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Morphological Features of the Porcine Lacrimal Gland and Its Compatibility for Human Lacrimal Gland Xenografting

In this study, we present first data concerning the anatomical structure, blood supply and location of the lacrimal gland of the pig. Our data indicate that the porcine lacrimal gland may serve as a potential xenograft candidate in humans or as an animal model for engineering of a bioartificial lacrimal gland tissue construct for clinical application. For this purpose, we used different macrosc...

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Denervation of the lacrimal gland.

THE surgical treatment of epiphora is now well established and on the whole satisfactory. A success rate of almost 90 per cent. can be expected for the operation of dacryocystorhinostomy (Stallard, 1950). There still remains a considerable number of cases where the puncta or canaliculi are strictured or absent, where the lacrimal sac is absent or grossly damaged, or where the inner canthus is s...

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Dacryoliths causing intermittent epiphora associated with a patent lacrimal system.

We present two patients with dacryoliths and patent lacrimal drainage with intermittent tearing and without infection. Dacryoliths can be present in the lacrimal sac or lacrimal duct without acute or chronic inflammation. In these cases, we believe dacryolith formation was a causative factor of intermittent epiphora even with a patent drainage system, and we propose that dacryoliths and even fu...

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ژورنال

عنوان ژورنال: Journal of Clinical and Cosmetic Dermatology

سال: 2019

ISSN: 2576-2826

DOI: 10.16966/2576-2826.137