Observation is a simple and reliable tool with the clinician. The level of tears, position of puncta, lids and eyelashes should be noted. Obstruction of the tear drainage system can be acquired or congenital, it is important to rule out acquired causes of tearing such as corneal, lid or lash abnormalities. Lacrimal obstruction problems can be divided as related to upper (puncta to lacrimal sac)...

A 50-year-old man presented with progressive enlargement of a right medial canthal mass for 5 years. The patient subsequently noted epiphora of 6-month duration on the affected side. An anterior orbitotomy was performed, which uncovered a well-circumscribed mass in the lacrimal sac. Histologic sections of the mass revealed an angioleiomyoma. Following complete excision, the epiphora resolved an...

Solitary fibrous tumor (SFT) is a spindle cell neoplasm of mesenchymal origin that typically arises from the pleura. Several extrapleural sites have also been described, including the orbit, lacrimal gland fossa, and lacrimal sac. We present the clinical, imaging, and histopathologic findings of an SFT arising from the sclera that manifested as an intraocular mass with extrascleral extension.

Two infants had congenital mucocele of the lacrimal sac. The diagnosis of this condition was aided by ultrasound. Congenital mucocele is one of the few indications for immediate lacrimal system probing in the neonatal period. Probing in both patients was successful.

This retrospective study describes and evaluates the effectiveness of a modified technique of conventional endoscopic dacryocystorhinostomy (DCR) that minimizes the obstruction of a neo-ostium by creating an enlarged marsupialized lacrimal sac using mucosal flaps. Forty-two patients who had undergone 46 endoscopic DCR at a tertiary medical center, from 2002 to 2004, for correction of lacrimal s...

PURPOSE The aim of this study is to present a surgical technique used to treat epiphora secondary to difficult cases of lacrimal pathway obstruction after fractures, previous surgery or anatomic abnormalities. METHODS From January 2001 to December 2002 we treated 27 patients with complicated lacrimal pathway obstruction secondary to fractures (10 cases), previous nasal surgery (4 cases), fail...

AIM It appears from the literature that no standardised examination exists for patients with functional nasolacrimal duct obstruction. The role of dacryocystography and lacrimal scintigraphy was compared in the diagnosis and management of these patients. METHOD Patients who were clinically diagnosed as having unilateral or bilateral functional nasolacrimal duct obstruction were prospectively ...

PURPOSE To describe the clinical features and management of a patient with an extralacrimal dacryolith. METHODS Case report. RESULTS A 43-year-old woman remarked at a routine eye examination that a small, firm mass located for several years on the right side of her nose had recently become slightly larger. The mass had remained firm and nontender during this enlargement. She explicitly deni...