Debates in Dacryology: The Ostium Dilemma

  • Andrea Zarkovic
  • Edwin C. Figueira
  • Simon N. Madge
  • Marcus M. Marcet
  • Dinesh Selva


One of the commonest causes of dacryocystorhinostomy (DCR) failure is the closure of the ostium due to healing of the mucosal edges, formation of synechiae, or presence of granulation tissue [1]. Another postulated cause of failure is the sump syndrome where a remnant of the inferior lacrimal sac acts as a nondraining reservoir [2]. These complications can be minimized by creating an adequately sized and appropriately placed ostium.


Middle Turbinate Lateral Nasal Wall Mucosal Edge Lacrimal Fossa Sump Syndrome 
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.


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Copyright information

© Springer India 2015

Authors and Affiliations

  • Andrea Zarkovic
    • 1
  • Edwin C. Figueira
    • 2
  • Simon N. Madge
    • 1
  • Marcus M. Marcet
    • 3
  • Dinesh Selva
    • 4
  1. 1.Department of OphthalmologyWye Valley Trust, NHSHerefordUK
  2. 2.Ophthalmic Plastics SurgeryRoyal Adelaide HospitalAdelaideAustralia
  3. 3.Department of OphthalmologyUniversity of Hong KongCyberportHong Kong
  4. 4.Ophthalmology and Visual SciencesUniversity of AdelaideAdelaideAustralia

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