Diagnostics and treatment of lacrimal duct diseases : A structured patient-centred care concept

HNO
J HeichelA Glien

Abstract

The cardinal symptom of lacrimal stenosis is epiphora and a subjective high level of discomfort due to continuous dacryorrhea. The aim of the current paper is to present a structured review of common diagnostic and therapeutic strategies for lacrimal stenosis. The most important diagnostic and therapeutic approaches are analysed using the existing literature and by reporting the authors' own experiences. A detailed patient history is crucial for diagnosis of lacrimal disorders. Precise inspection and palpation of the lacrimal and lid region may confirm lacrimal stenosis. Examinations of tear production, tear quality and the properties of the ocular surface are helpful. The most important diagnostic tool is lacrimal duct probing and syringing. Therapy is guided by underlying pathologies. Treatment of congenital lacrimal stenosis follows a staged concept. Epiphora in adults without signs of dacryocystitis should be treated with dacryoendoscopy. Dacryoendoscopy is also a therapeutic option for chronic dacryocystitis, but dacryocystorhinostomy may also be required. Lacrimal trauma should be reconstructed rapidly after the incident by lacrimal intubation. Neoplasia of the lacrimal excretory system requires histological classificatio...Continue Reading

References

Aug 1, 1991·Ophthalmology·A E Wulc, J F Arterberry
Jan 1, 1987·Ophthalmic Plastic and Reconstructive Surgery·R S Gonnering
Mar 1, 1987·Ophthalmology·G J Harris, F H Fuerste
Jan 1, 1985·Ophthalmic Plastic and Reconstructive Surgery·M J Hawes, D R Segrest
Jul 1, 1969·Archives of Ophthalmology·O P van Bijsterveld
Aug 1, 1980·The Australian and New Zealand Journal of Surgery·H BusseG Greul
Sep 1, 1996·Ophthalmic Plastic and Reconstructive Surgery·C B Slonim
Aug 17, 1999·Klinische Monatsblätter für Augenheilkunde·H G Struck
Aug 1, 2000·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·H G Struck, D Ehrich
Jun 19, 2001·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·D K VanderveenR A Petersen
Jul 14, 2001·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·H G Struck, R Weidlich
Sep 3, 2004·Klinische Monatsblätter für Augenheilkunde·H G StruckD Ehrich
Sep 15, 2004·Archives of Ophthalmology·Norihiko YokoiShigeru Kinoshita
Dec 21, 2005·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·C JacobiF E Kruse
Jul 4, 2006·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Chaim Stolovitch, Adi Michaeli
Dec 7, 2007·American Journal of Ophthalmology·Milind N NaikSantosh G Honavar
Apr 1, 2008·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·M Förl, H Busse
May 9, 2008·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·E DomeierK H Wilhelm
Feb 21, 2009·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·H G Struck
Oct 12, 2010·The British Journal of Ophthalmology·Yakov GoldichYair Morad
Oct 21, 2010·Orbit·Ludwig M HeindlLeonard M Holbach
Apr 1, 2011·Investigative Ophthalmology & Visual Science·Alan TomlinsonMurat Dogru
May 26, 2016·HNO·C von GoscinskiL M Heindl
Aug 29, 2017·American Journal of Ophthalmology·Yen-Chang ChuHsueh-Yen Chu

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Citations

Sep 24, 2019·Annales de chirurgie plastique et esthétique·L MarinA Martel
Feb 5, 2022·Klinische Monatsblätter für Augenheilkunde·Jens HeichelHans-Gert Struck

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