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Tears are produced by the lacrimal gland, situated just outside the eye. Blinking the eyelids distributes the tears to keep the eyes moist, clean and lubricated. Excess tears are drained via the punctum through the tiny channels called canaliculi located on the inner side of the eyes into the tear sac, from there to the tear duct, the nose and finally down the throat.
Tear Duct Surgery: When tear ducts are blocked or damaged, it can cause chronic tearing or infections. Tear duct surgery, such as dacryocystorhinostomy (DCR), aims to create a new drainage pathway for tears to alleviate these issues. Orbital Surgery: Orbital surgery deals with problems within the eye socket, or orbit. This can include the ...
With time the cyst will outgrow the blockage. However, with chronic dacryocystocele, the nasolacrimal duct probing may be required to open the obstruction. Surgery may be needed to widen the tear ducts in order to reduce the blockage occurring in the eye area.
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With the advent of nasal endoscopes, endoscopic dacryocystorhinostomy is becoming popular. In this procedure, a nasal endoscope is used to visualise the lacrimal sac through the nasal cavity. The bone covering the lacrimal sac is nibbled out. The medial wall of the sac is incised or excised, facilitating drainage of tears into the nasal cavity.
External or Endoscopic Dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction [9]; Canalicular trauma (canalicular laceration) repair; Canaliculodacryocystostomy is a surgical correction for a congenitally blocked tear duct in which the closed segment is excised and the open end is joined to the lacrimal sac.
Canaliculodacryocystostomy is a surgical correction for a congenitally blocked tear duct in which the closed segment is excised and the open end is joined to the lacrimal sac. [33] [36] Canaliculotomy involves slitting of the lacrimal punctum and canaliculus for the relief of epiphora [33] A dacryoadenectomy is the surgical removal of a ...
A silastic tube or stent may be employed along with probing to maintain tear duct patency. [6] A systematic review comparing immediate probing with deferred probing found that in children with unilateral nasolacrimal duct obstruction, immediate probing resulted in a higher success rate of treatment compared to deferred probing. [7]