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Canalicular Obstructions and Management

  • Moisés Enghelberg
  • Cat Nguyen BurkatEmail author
Chapter

Abstract

Canalicular stenosis or obstruction is a common cause of chronic epiphora. Proper evaluation of epiphora is the cornerstone of dacryology and will enable the practitioner to assess the underlying etiology, thus developing a sound surgical plan. The anatomical complexities of the lacrimal drainage system are discussed, as well as the proper technique and potential challenges in the diagnosis and management of this condition. Congenital and acquired causes of canalicular obstruction and canaliculitis are discussed. Iatrogenic canalicular obstruction may occur secondary to migrated or intracanalicular punctal plugs. In severe cases of canalicular obstruction, a conjunctivodacryocystorhinostomy may be necessary.

Keywords

Congenital nasolacrimal duct obstruction Canalicular stenosis Silicone intubation Canalicular probing Congenital lacrimal fistula Canaliculitis Canaliculotomy Dacryolith Canaliculolith Dacryocystorhinostomy Conjunctivodacryocystorhinostomy 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of OphthalmologyLarkin Community HospitalSouth MiamiUSA
  2. 2.Department of Ophthalmology and Visual SciencesUniversity of Wisconsin-MadisonMadisonUSA

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