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    Lacrimal Apparatus - Introduction

    Uploaded by

    M. Shahin Uddin Kazem

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Lacrimal Apparatus - Introduction

    Uploaded by

    M. Shahin Uddin Kazem
    4 views4 pages

    Original Title

    1. Lacrimal Apparatus - Introduction

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    4 views4 pages

    Lacrimal Apparatus - Introduction

    Uploaded by

    M. Shahin Uddin Kazem

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Lacrimal Apparatus - Introduc tion

    ( 2cm )
    lacrimal
    gland parts
    ◦
    -
    2

    (a) Orbital

    (b)
    Palpebral
    ◦ Function = Produce tears .

    Types of Tear :

    cis Basal tears ( produced by accessory gland of Krause 4

    (Ii , Reflex tears ( by main lacrimal gland ) wolfring )

    (iiii Psychic tears


    emotional stimuli )
    ( by
    Drainage of Tear :

    Upper & Lower


    punctum
    ↓

    & lower canaliculus


    Upper
    ↓
    Common Canaliculus

    ↓
    Lacrimal sac

    Naso lacrimal duct


    to

    Interior meatus Nose


    of
    present at with
    * flasher 's values are
    junction of MLD

    meatus
    inferior .
    Blockage of lacrimal Apparatus :

    Epiphora
    ◦
    Excessive watering of eyes

    ◦ Causes : (a) Excessive lacrimation

    (b) lacrimal apparatus


    Blockage of ( Mlc )

    • Common sites of blockage : (a) NLD ( m / c)

    (b) Common canaliculus

    (c) Upper / lower canaliculus .

    Diagnostic Tests :

    ai
    syringing
    ii. , Probing
    Ciii Jones test 142
    ( syringing )
    1 Probing )
    Naso Lacrimal Duct Obstruction (NLDO)
    ◦
    Mlc disorder of lacrimal
    system .

    • It is
    of 2
    types : Ia )
    Congenital
    (b) Acquired
    Acquired NLDO

    •
    Mlc came is
    inflammation / fibrosis
    • Other causes - Trauma ,
    Tumor , lnlegner granulomatosis .

    Confirm by ROPLAS Test . _

    Regurgitation on
    pressure
    lacrimal
    over sac
    confirms
    NLD ? '

    Management :

    Li , Canal icular obstruction -

    Conjunctival Dacryocystorhinostomy
    ( ) DCR
    with jones tube placement .

    canaliculus DCR At least canaliculus /


    ii , 8mm
    of upper
    -

    lower canaliculus should be


    patent
    iii , NLD block DCR ( Gold standard ) .

    (
    -

    Congenital NIDO

    ◦ Hosmer 's value not canalized ( 6- 20% children are born )

    •
    leads to Epiphora ,
    discharge ,
    crusting .
    •

    Spontaneous resolution occurs


    by 1ˢᵗ
    year for 90%

    children
    of
    .

    Treatment :

    (is Crigler massage


    Ii ,
    Probing
    Liii , DCR ( connect sac to middle meatus of nose ) 3.
    yrs
    after
    .

    og age
    .

    C
    MedNotes [ www.mednotes.in ]
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