© 2006

The Lacrimal System

Diagnosis, Management, and Surgery

  • Adam J. Cohen
  • Michael Mercandetti
  • Brian G. Brazzo

Table of contents

  1. Front Matter
    Pages i-xx
  2. Anatomy

    1. Front Matter
      Pages 1-1
    2. Cat N. Burkat, Mark J. Lucarelli
      Pages 3-19
    3. Susan R. Carter, Roberta E. Gausas
      Pages 20-24
    4. Joseph P. Mirante
      Pages 25-32
  3. Diagnosis

    1. Front Matter
      Pages 33-33
    2. William R. Katowitz, James A. Katowitz
      Pages 35-42
    3. Joshua Amato, Morris E. Hartstein
      Pages 66-73
    4. Jonathan J. Dutton, Jeffrey J. White
      Pages 74-95
  4. Management and Surgical Techniques

    1. Front Matter
      Pages 97-97
    2. Michael A. Lemp
      Pages 99-109
    3. Jennifer S. Landy, Charles B. Slonim, Jay Justin Older
      Pages 110-118
    4. Harry Marshak, Steven C. Dresner
      Pages 119-126
    5. Richard H. Hart, Suzanne Powrie, Geoffrey E. Rose
      Pages 127-143
    6. Francois Codere, David W. Rossman
      Pages 144-154
    7. Hans-Werner Meyer-Rüsenberg, Karl-Heinz Emmerich
      Pages 155-163
    8. Jan Lei Iwata, Robert A. Weiss, Michael Mercandetti
      Pages 164-171
    9. Geoffrey J. Gladstone, Brian G. Brazzo
      Pages 172-181
    10. Bruce B. Becker
      Pages 182-188

About this book


Lacrimal surgeries are among the most commonly performed ones in occulopastic surgery. The procedures range from unblocking tear ducts in small children with this very minor congenital dysmorphology to correcting dry eye through surgery. As with many of these procedures, the disorders sound minor but the patients’ lives are seriously affected. Dry eye is more than an inconvenience, sometimes leading to corneal microabrasions, infections, and photosensitivity. Dry eye is caused by any number of systemic autoimmune disorders such as lupus or arthritis, excessive radiation, drug reactions, old age, and lasik and other surgeries.

There are other books reviewing lacrimal surgery as a portion of occuloplastic practice. The editors have chosen, in The Lacrimal System: Diagnosis, Management & Surgery, to address the whole range of lacrimal disorders in one concise, practical volume. By broadening the scope of the subject, the editors hope to meet the needs of residents, ophthalmologists who do some lacrimal procedures, fellows who are learning the special procedures, and experts interested in learning about the most recent modifications of technique.

Table of Contents: Foreword.- Introduction.- Dedication.- Section One Anatomy.- Introduction.- 1 Anatomy of the Lacrimal System.- 2 Gender and Racial Variation of the Lacrimal System.- 3 Histology and Pathology of the Lacrimal System.- 4 Nasal Anatomy and Evaluation.- Section Two Diagnosis.- Introduction.- 5 Congenital Etiologies of Lacrimal System Obstructions.- 6 Acquired Etiologies of Lacrimal System Obstructions.- 7 Evaluation of the Tearing Patient.- 8 Imaging and Clinical Evaluation of The Lacrimal Drainage System.- Section Three Management and Surgical Technique.- Introduction.- 9 The Tear Deficient Patient.- 10 Surgery of the Punctum and Canaliculus.- 11 Lacrimal Trauma.- 12 Primary External Dacryocystorhinostomy.- 13 Primary Endonasal Dacryocystorhinostomy.- 14 Transcanalicular Dacryocystorhinostomy.- 15 Conjunctivodacryocystorhinostomy.- 16 Endonasal Conjunctivodacryocystorhinostomy.- 17 Pediatric Balloon Assisted Lacrimal Dacryoplasty.- 18 Balloon Assisted Lacrimal Dacryoplasty in Adults.- 19 Balloon Assisted Lacrimal Surgery.- 20 9 mm Endoscopic Balloon DCR: A New Less Invasive Procedure for Tearing in Adults.- 21 Radiofrequency DCR.- 22 Powered Endoscopic DCR.- 23 Laser DCR, Part 1: Laser-Assisted Endonasal Endoscopic DCR.- 24 Laser DCR, Part 2: Laser-Assisted Endonasal Endoscopic DCR with the Holmium: YAG Laser.- 25 Laser DCR, Part 3:Laser-Assisted Endonasal Endoscopic DCR with the KTP Laser.- 26 Revision DCR.- 27 The Adjunctive Use of Mitomycin C in DCR.- 28 The Griffiths Nasolacrimal Catheter.- 29 The Sisler Lacrimal Canalicular Trephine.


Laser Surgery anatomy diagnosis endoscopy eye ophthalmology oral surgery otolaryngology plastic surgery trauma

Editors and affiliations

  • Adam J. Cohen
    • 1
  • Michael Mercandetti
    • 2
  • Brian G. Brazzo
    • 3
    • 4
    • 5
    • 6
  1. 1.Eyelid and Facial Aesthetic and Reconstructive Surgery, Craniofacial SurgeryNeuro-OphthalmologyEvanstonUSA
  2. 2.Department of SurgeryDoctor’s HospitalSarasotaUSA
  3. 3.Department of OphthalmologyWeill Medical College of Cornell UniversityNew York
  4. 4.Oculoplastics Service, Department of OphthalmologyMaimonides Medical CenterBrooklyn
  5. 5.Oculoplastics Service, Department of OphthalmologyLincoln HospitalBronx
  6. 6.Department of OphthalmologyThe New York Eye and Ear InfirmaryNew YorkUSA

Bibliographic information

  • Book Title The Lacrimal System
  • Book Subtitle Diagnosis, Management, and Surgery
  • Editors Adam J. Cohen
    Michael Mercandetti
    Brian G. Brazzo
  • DOI
  • Copyright Information Springer Science+Business Media, Inc. 2006
  • Publisher Name Springer, New York, NY
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-0-387-25385-5
  • Softcover ISBN 978-1-4419-2055-3
  • eBook ISBN 978-0-387-35267-1
  • Edition Number 1
  • Number of Pages XX, 281
  • Number of Illustrations 150 b/w illustrations, 0 illustrations in colour
  • Topics Ophthalmology
    Plastic Surgery
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals


From the reviews:

"The book explores the anatomy, diagnosis, and management of lacrimal disorders, and discusses the gamut of disorders, from commonly-seen to rarer etiologies. … This is clearly targeted to oculoplastic specialists. Because its course covers basic examination skills and an overview of the anatomy, it may be best suited to fellows and clinicians who are earlier in their careers. … This is a welcome addition to our knowledge of lacrimal anatomy." (Roberta E. Gausas, Doody's Review Service, February, 2008)