A wide array of pathogenic factors has been associated with lacrimal drainage system obstruction including inflammatory conditions originating from the eye, conjunctiva, lacrimal mucosa, nose and paranasal sinuses; trauma; congenital abnormalities; radiotherapy and neoplasms. Inflammatory conditions initially cause lac-rimal mucosal swelling but may lead to fibrotic narrowing or obstruction of ...

CONGENITAL fistula of the lacrimal duct is very rare, and is usually associated with other congenital anomalies (Duke-Elder, 1932, 1952; Gray, 1949; Spaeth, 1948). The epithelium of the ducts and alveoli of the lacrimal gland is derived from a series of ectodermal invaginations in the region of the superior conjunctival fornix. Early buds form the orbital portion, while secondary buds from abov...

BACKGROUND Endoscopic extended maxillary mega-antrostomy (EMMA) is a mucosal sparing technique that allows maxillary drainage by gravity, with a reported symptomatic nasolacrimal duct injury incidence of 0-4%, based on history alone. Injury to the nasolacrimal duct is known to cause epiphora, a complication that is rare but more often seen in this revision surgery. OBJECTIVE The goal of this ...

Objective: To study the age and the sex distribution among the primary and secondarily acquired Nasolacrimal duct obstruction . Methods: we conducted a prospective observational study among randomly selected 100 patients presented with epiphora to ENT department during 2year period ie; from march 2013-march 2015. After confirming presence of Nasolacrimal duct obstruction (NLDO) by opthalmologic...

A variety of proteins have been identified in tears, which are composed of secretions from all the orbital glands. It has been assumed that the lacrimal gland was the source of these proteins because there is indirect evidence that the lacrimal gland can secrete protein in response to cholinergic stimulation. In the present study, the concentration of protein was determined in lacrimal gland fl...

Background: Obstruction of the nasolacrimal duct is the most common abnormality of the lacrimal system in childhood leading to epiphora. It is found in about 20% of newborns. If not treated in time, it may be complicated by recurrent conjunctivitis, chronic dacryocystitis, and lacrimal abscess formation. Objectives: To study the outcome and complications of probing for congenital nasolacrimal d...

Biliary drainage with biliary stent placement is the treatment of choice for palliation in patients with malignant biliary obstruction caused by unresectable neoplasms. In such patients, the endoscopic approach can be initially used with percutaneous radiological intervention. In patients with unresectable malignant distal bile duct obstructions, endoscopic biliary drainage with biliary stent p...

OBJECTIVES Many factors influence the outcome of endoscopic dacryocystorhinostomy (DCR). One of the most important prognostic factors is the level of obstruction in the lacrimal drainage system. The main objective of this report is to evaluate both the frequency of obstruction by anatomical region of the lacrimal drainage system on dacryocystography (DCG) and the surgical outcome of endoscopic ...

PURPOSE Description of the clinical and histopathological features of unusual lacrimal gland intra-glandular duct cysts. PROCEDURES A 38-year-old male presented with bilateral upper lid lumpiness, which was worse on the left. Computed tomography scan showed bilateral multiple lacrimal gland cysts, which were larger on the left compared to the right. After two unsuccessful attempts to excise t...