In endoscopic DCR group, out of 23 cases 25 cases (92%) demonstrated primary surgical success which is defined as decreased or absent epiphora and adequately patent lacrimal system
in the 1st month of follow-up period.
Thirteen patients had medial telecanthal deformities and lacrimal system
obstruction in the right eye; nine patients were in the left eye.
Of the 4 patients whose mass was located in the upper eyelid/medial canthal region, lacrimal system
involvement was discovered intraoperatively in 1 patient and the excision area was expanded to include the lacrimal sac and canaliculi.
Conjunctivodacryocystorhinostomy (CDCR) is a surgical method that involves bypassing the upper lacrimal system
and creating a new drainage system between the conjunctiva and the nasal cavity by a tear drainage tube in patients with total upper lacrimal system
obstruction or damage.
reconstruction was not performed in any of the patients.
A review of the normal anatomy of the lacrimal system
is helpful (Figure 1).
Some conditions may affect the secretion of the lacrimal system
and promote qualitative and quantitative alterations in tear films (DAVIDSON & KUONEN, 2004).
Ophthalmology deals with the diseases and surgery of the visual pathways, including the eye, brain and areas surrounding the eye, such as the lacrimal system
These techniques have enabled precise visualization and objective assessments of anterior segment structures; thus, these devices have become essential tools for better diagnosis and treatment of anterior segment diseases including corneal disorders, cataract, glaucoma, and even disorders of the lacrimal system
. Future development of novel modalities, that is, en face OCT or ultrahigh-resolution OCT, is expected to allow more detailed visualization at a microscopic level, which would provide even more understanding of anterior segment pathology at a cellular level.
There is a subgroup of patients with epiphora exhibiting decreased tear drainage and increased tear line associated with normal pump function and a patent lacrimal system
on nasolacrimal irrigation.
Following induction of anaesthesia, the upper and lower puncti were dilated and the lacrimal system
probed using '0' or '00' gauge bowman probe.
Roy, an ophthalmologist in private practice who specializes in cataract surgery, provides students, research fellows, optometrists, ophthalmologists, and eye care practitioners with a guide listing the differential diagnosis of specific ocular diseases, organized by anatomic organ--the orbit, lids, lacrimal system
, extraocular muscles, conjunctiva, globe, sclera, cornea, anterior chamber, pupil, iris, lens, vitreous, retina, choroid, and optic nerve--in addition to visual field defects and intraocular pressure and ending with a section on general signs and symptoms such as visual disturbance or complaint and head position.