Many accessory lacrimal glands can be found along the inner surface of the eyelids. A variable number of thin-walled excretory ducts, blood vessels, lymphatics, and nerves pass from the main orbital gland into these accessory lacrimal glands. The ducts continue downward, and about 12 of them empty into the conjunctival fornix approximately 5 mm above the superior margin of the upper tarsus. Bec...

purpose : to report a case of retained silicone tube case report : we report a case of 48-year-old iranian lady who referred to the department of otolaryngology with 18 years history of epiphora and intermittent mucopurulant discharge from the left lacrimal canaliculi. she had external dacryocystorhinostomy (dcr) with silicon stenting for epiphora 18 years ago but epiphora had continued after s...

Quantitative lacrimal scintillography is a useful clinical procedure in assessing lacrimal drainage function in patients with epiphora. Examples are presented of patients with canalicular disease, lid abnormalities, 'functional blocks', and dysthroid disease, in which this technique was valuable. Information regarding the dynamics of a functioning and non-functioning dacryocystorhinostomy is el...

PURPOSE We report a very good outcome in a 44-year-old woman in whom cancer was missed as the cause of nasolacrimal duct obstruction and dacryocystitis and which was deemed inoperable after spreading to the cavernous sinus. CASE REPORT The patient was referred to our unit 12 months following uneventful right dacryocystorhinostomy for nasolacrimal duct obstruction. This had been complicated by...

BACKGROUND The aims of the study are to assess the prevalence of bacteremia during dacryocystorhinostomy (DCR) and to assess whether there is a need for post-operative prophylaxis. Prospective interventional study of 52 consecutive dacryocystorhinostomy performed in 50 patients over a period of 1 year from 2013 to 2014. Blood was drawn under strict aseptic conditions during two separate time po...

BACKGROUND Dacryocystorhinostomy (DCR) is a surgical technique that has been increasingly used by otolaryngologists in recent years due to the improved endonasal approach with endoscopes. Although it was first described in 1893 by Caldwell, it has been performed by ophthalmologists. OBJECTIVES Even though permeability results are similar in long-term follow-up, we present some modifications t...