Abstract
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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literature
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.
Emmerich KH, Ungerechts R, Meyer-Rüsenberg HW. Microendoscopic tear duct surgery. Ophthalmologe. 2009;106(3):194, 196–204.
Emmerich KH, Rüsenberg HW, Amin S. Modern, minimally invasive surgery of the lacrimal duct system. Ophthalmologe. 2014;111(9):887–895.#.
Hurwitz JJ. The lacrimal system. Philadelphia: Lippincott-Raven Publishers; 1996. isbn:0-7817-0334-4.
Meyer-Rüsenberg HW, Vujancevic S, Emmerich KH. Current status of dacryocystorhinostomy. Ophthalmologe. 2009;106(3):205–7 , 210–6.
Oliver J. Colour atlas of lacrimal surgery. Oxford: Butterworth-Heinemann; 2002. isbn:0 7506 4486 9.
Weber RK, Keerl R, Schaefer SD, Della Rocca RC, editors. Atlas of lacrimal surgery. Heidelberg: Springer; 2007. isbn:103-540-26255-5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary Material
Microdrilldacryoplasty of a button hole stenosis of the lacrimal sac (MPG 30860 kb)
Microdrilldacryoplastyof a subtotal stenosis of the nasolacrimal duct. (MPG 109371 kb)
Microdrilldacryoplasty of dacryoliths and scars in the lacrimal sac (MPG 34815 kb)
Polyps and bleeding in the lacrimal sac due to chronic dacryocystitis (MPG 14154 kb)
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Ungerechts, R. (2017). Lacrimal Surgery. In: Spandau, U., Scharioth, G. (eds) Cutting Edge of Ophthalmic Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-47226-3_1
Download citation
DOI: https://doi.org/10.1007/978-3-319-47226-3_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-47225-6
Online ISBN: 978-3-319-47226-3
eBook Packages: MedicineMedicine (R0)