Lacrimal Surgery

  • Ralf UngerechtsEmail author


Tears are essential for the normal function of the eye. A part of the tears is lost by evaporation. The majority of tears drain to the inferior meatus of the nose. The parasympathic nervous system controls the tear volume reflex by the fifth cranial nerve. When the volume increases or the passage is obstructed, the patient complains about epiphora and blurred vision. Bacterial invasion of an obstructed lacrimal system can occasionally lead to acute dacryocystitis with fistula formation. The patient should be informed that in almost every case (except for orbital abscess) the operation is elective and optional.


Nasal Mucosa Nasolacrimal Duct Lacrimal System Midface Fracture Chronic Dacryocystitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 1.1

Microdrilldacryoplasty of a button hole stenosis of the lacrimal sac (MPG 30860 kb)

Video 1.2

Microdrilldacryoplastyof a subtotal stenosis of the nasolacrimal duct. (MPG 109371 kb)

Video 1.3

Microdrilldacryoplasty of dacryoliths and scars in the lacrimal sac (MPG 34815 kb)

Video 1.4

Polyps and bleeding in the lacrimal sac due to chronic dacryocystitis (MPG 14154 kb)


  1. 1.
    Bukhari AA. Meta-analysis of the effect of posterior mucosal flap anastomosis in primary externaldacryocystorhinostomy. Clin Ophthalmol. 2013;7:2281–5. doi: 10.2147/OPTH.S55508. Epub 2013 Dec 6. Review.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Emmerich KH, Ungerechts R, Meyer-Rüsenberg HW. Microendoscopic tear duct surgery. Ophthalmologe. 2009;106(3):194, 196–204.CrossRefGoogle Scholar
  3. 3.
    Emmerich KH, Rüsenberg HW, Amin S. Modern, minimally invasive surgery of the lacrimal duct system. Ophthalmologe. 2014;111(9):887–895.#.Google Scholar
  4. 4.
    Hurwitz JJ. The lacrimal system. Philadelphia: Lippincott-Raven Publishers; 1996. isbn:0-7817-0334-4.Google Scholar
  5. 5.
    Meyer-Rüsenberg HW, Vujancevic S, Emmerich KH. Current status of dacryocystorhinostomy. Ophthalmologe. 2009;106(3):205–7 , 210–6.CrossRefPubMedGoogle Scholar
  6. 6.
    Oliver J. Colour atlas of lacrimal surgery. Oxford: Butterworth-Heinemann; 2002. isbn:0 7506 4486 9.Google Scholar
  7. 7.
    Weber RK, Keerl R, Schaefer SD, Della Rocca RC, editors. Atlas of lacrimal surgery. Heidelberg: Springer; 2007. isbn:103-540-26255-5.Google Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Klinikum-Darmstadt GmbH, Eye ClinicDarmstadtGermany

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