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The lacrimal sac or lachrymal sac [1] is the upper dilated end of the nasolacrimal duct, [2] and is lodged in a deep groove formed by the lacrimal bone and frontal process of the maxilla. It connects the lacrimal canaliculi, which drain tears from the eye's surface, and the nasolacrimal duct, which conveys this fluid into the nasal cavity. [3]
The nasolacrimal duct (also called the tear duct) carries tears from the lacrimal sac of the eye into the nasal cavity. [ 1 ] [ 2 ] The duct begins in the eye socket between the maxillary and lacrimal bones , from where it passes downwards and backwards.
Neoplasm should be considered in any patient presenting with nasolacrimal duct obstruction. In patients with atypical presentations, including younger age and male gender, further workup is appropriate. Bloody punctual discharge or lacrimal sac distension above the medial canthal tendon is also highly suggestive of neoplasm.
The lacrimal gland, which secretes the tears, and its excretory ducts, which convey the fluid to the surface of the eye; it is a j-shaped serous gland located in lacrimal fossa. The lacrimal canaliculi , the lacrimal sac , and the nasolacrimal duct , by which the fluid is conveyed into the cavity of the nose , emptying anterioinferiorly to the ...
Dacryocystitis is an infection of the lacrimal sac, secondary to obstruction of the nasolacrimal duct at the junction of the lacrimal sac. [1] The term derives from Greek dákryon 'tear' cysta 'sac' and -itis 'inflammation'. [2] It causes pain, redness, and swelling over the inner aspect of the lower eyelid and epiphora.
Specifically, the lacrimal bones help form the nasolacrimal canal necessary for tear translocation. A depression on the anterior inferior portion of one bone, the lacrimal fossa, houses the membranous lacrimal sac. Tears, from the lacrimal glands, collect in this sac during excessive lacrimation.
Excessive moisture as tears collected in the lacrimal sac travel down the nasolacrimal ducts where they drain into the inferior meatus in the nasal cavity. [23] Most of the nasal cavity and paranasal sinuses is lined with respiratory epithelium as nasal mucosa. In the roof of each cavity is an area of specialised olfactory epithelium.
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.