Skip to main content

Dacryoendoscopic Examination of the Lacrimal System

  • Chapter
  • First Online:
  • 1188 Accesses

Abstract

Dacryoendoscopy is a procedure utilizing microendoscopic techniques to visualize the entire lacrimal system from the puncta to the inferior meatus [1–10]. It is gaining firm ground and increasing popularity for expanding indications in lacrimal disorders, thus having many diagnostic and potential therapeutic implications [1–10]. Till the late 1990s, the microendoscopic systems were not well developed; however, with the advancement in other specialties like endoscopic retrograde cholangiopancreatography (ERCP), numerous microendoscopes with a good image quality were designed. Dacryoendoscopes used in the past include the Junemann probe and the vitroptic. Additional channels were added for example for laser delivery of KTP-YAG or Erbium-YAG laser for laser dacryoplasty and micropunches for sample collection. The author performs it using a 0.6-mm microendoscope (Karl Storz, Tuttlingen, Germany), which was adapted and partly modified from the original sialoendoscope. This chapter discusses the instruments, indications, techniques, and findings of a normal dacryoendoscopic examination.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   149.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Sasaki T, Miyashita H, Miyanaga T, et al. Dacryoendoscopic observation and incidence of canalicular obstruction or stenosis associated with S-1, an oral anticancer drug. Jpn J Ophthalmol. 2012;56:214–8.

    Article  PubMed  CAS  Google Scholar 

  2. Kakizaki H, Takahashi Y, Sa HS, et al. Congenital dacryocystocele: comparative findings of dacryoendoscopy and histopathology in a patient. Ophthal Plast Reconstr Surg. 2012;28:e85–6.

    Article  PubMed  Google Scholar 

  3. Sasaki T, Nagata Y, Sugiyama K. Nasolacrimal duct obstruction classified by dacryoendoscopy and treated with inferior meatal dacryorhinotomy: part II. Inferior meatal dacryorhinotomy. Am J Ophthalmol. 2005;140:1070–4.

    Article  PubMed  Google Scholar 

  4. Sasaki T, Nagata Y, Sugiyama K. Nasolacrimal duct obstruction classified by dacryoendoscopy and treated with inferior meatal dacryorhinotomy. Part I: positional diagnosis of primary nasolacrimal duct obstruction with dacryoendoscope. Am J Ophthalmol. 2005;140:1065–9.

    Article  PubMed  Google Scholar 

  5. Küstner M, Clemens S, Tost F. Minimally invasive endoscopic surgery of the lacrimal drainage system – two case reports. Klin Monbl Augenheilkd. 2005;222:928–32.

    Article  PubMed  Google Scholar 

  6. Maier M, Schmidt T, Schmidt M. Endoscopically controlled surgery with the micro-drill and intubation of the lacrimal ducts. Ophthalmologe. 2000;97:870–3.

    Article  PubMed  CAS  Google Scholar 

  7. Emmerich KH, Steinhauer J, Meyer-Rüsenberg HW, et al. Dacryoendoscopy – current status. Ophthalmologe. 1998;95:820–2.

    Article  PubMed  CAS  Google Scholar 

  8. Emmerich KH, Lüchtenberg M, Meyer-Rüsenberg HW, et al. Dacryoendoscopy and laser dacryoplasty: technique and results. Klin Monbl Augenheilkd. 1997;211:375–9.

    Article  PubMed  CAS  Google Scholar 

  9. Emmerich KH, Meyer-Rüsenberg HW, Simko P. Endoscopy of the lacrimal ducts. Ophthalmologe. 1997;94:732–5. Klin Monbl Augenheilkd. 1997;94:732–5.

    Article  PubMed  CAS  Google Scholar 

  10. Haefliger IO, Piffaretti JM. Lacrimal drainage system endoscopic examination and surgery through the lacrimal punctum. Klin Monbl Augenheilkd. 2001;218:384–7.

    Article  PubMed  CAS  Google Scholar 

  11. Ali MJ, Mohapatra S, Mulay K, et al. Incomplete punctal canalization: the external and internal punctal membranes. Outcomes of membranotomy and adjunctive procedures. Br J Ophthalmol. 2013;97:92–5.

    Article  PubMed  Google Scholar 

  12. Ali MJ, Naik MN. Canalicular wall dysgenesis: the clinical profile of canalicular hypoplasia and aplasia, associated systemic and lacrimal anomalies, and clinical implications. Ophthal Plast Reconstr Surg. 2013;29:464–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mohammad Javed Ali MS, FRCS, FRCGP .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer India

About this chapter

Cite this chapter

Javed Ali, M. (2015). Dacryoendoscopic Examination of the Lacrimal System. In: Javed Ali, M. (eds) Principles and Practice of Lacrimal Surgery. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2020-6_9

Download citation

  • DOI: https://doi.org/10.1007/978-81-322-2020-6_9

  • Published:

  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-2019-0

  • Online ISBN: 978-81-322-2020-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics