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Imaging Modalities for Lacrimal Disorders

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Principles and Practice of Lacrimal Surgery

Abstract

Radiologic evaluation of the lacrimal system has evolved over the past decades to include a variety of studies ranging from plain dacryocystography to digital subtraction dacryocystography (DCG), nuclear medicine isotope studies dacryoscintigraphy (DSG), lacrimal ultrasonography (USG), computed tomography (CT), combined CT-DCG, and magnetic resonance imaging DCG (MR-DCG). This chapter discusses all these modalities with their indications, advantages, and limitations.

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References

  1. Mahesh L. Imaging in lacrimal surgery. In: Isloor S, editor. Lacrimal drainage surgery. New Delhi: Jaypee Brothers; 2014. p. 17–22.

    Google Scholar 

  2. Galloway JE, Kavie TA, Raflo GT. Digital subtraction macrodacryocystography: a new method of lacrimal system imaging. Ophthalmology. 1984;91:956–62.

    Article  CAS  PubMed  Google Scholar 

  3. Kousoubris PD. Radiological evaluation of lacrimal and orbital disease. In: Woog JJ, editor. Endoscopic lacrimal and orbital surgery. 1st ed. Oxford: Butterworth-Hienemann; 2004. p. 79–104.

    Google Scholar 

  4. Priebe M, Mohr A, Brossman J, et al. Gadobutrol: an alternative contrast agent for digital subtraction dacryocystography. Eur Radiol. 2002;12:2083–6.

    Article  CAS  PubMed  Google Scholar 

  5. Walther EK, Herberhold C, Lippel R. Digital subtraction dacryocystography (DS-DCG) and evaluation of results of endonasal lacrimal duct surgery. Laryngorhinootologie. 1994;73:609–13.

    Article  CAS  PubMed  Google Scholar 

  6. Lefebvre DR, Freitag SR. Update on imaging of the lacrimal drainage system. Surv Ophthalmol. 2012;27:175–86.

    Google Scholar 

  7. Rossomondo RM, Carlton WH, Trueblood JH, et al. A new method of evaluating lacrimal drainage. Arch Ophthalmol. 1972;88:523–5.

    Article  CAS  PubMed  Google Scholar 

  8. Hurwitz JJ, Maisey MN, Welham RAN. Quantitative lacrimal scintillography. Br J Ophthalmol. 1975;59:313–22.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Sagili S, Selva D, Malhotra R. Lacrimal scintigraphy: interpretation more art than science. Orbit. 2012;31:77–85.

    Article  PubMed  Google Scholar 

  10. Oksala A. Diagnosis by ultrasound in acute dacryocystitis. Acta Ophthalmol. 1959;37:176–80.

    Article  CAS  Google Scholar 

  11. Al-Faky YH. Anatomical utility of ultrasound biomicroscopy in the lacrimal drainage system. Br J Ophthalmol. 2011;95:1446–50.

    Article  PubMed  Google Scholar 

  12. Ezra E, Restori M, Mannor GE. Ultrasonic assessment of rhinostomy size following external dacryocystorhinostomy. Br J Ophthalmol. 1998;82:786–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Al-Faky YH. Physiological utility of ultrasound biomicroscopy in the lacrimal drainage system. Br J Ophthalmol. 2013;97:1325–9.

    Article  PubMed  Google Scholar 

  14. Frietag SK, Woog JJ, Kousoubris PD, et al. Helical computed tomographic dacryocystography with three-dimensional reconstruction: a new view of lacrimal drainage system. Ophthal Plast Reconstr Surg. 2002;18:121–32.

    Article  Google Scholar 

  15. Ashenhurst M, Jaffer N, Hurwitz JJ, et al. Combined computed tomography and dacryocystography for complex lacrimal problems. Can J Ophthalmol. 1991;26:27–31.

    CAS  PubMed  Google Scholar 

  16. Udhay P, Noronha OV, Mohan RE. Helical computed tomographic dacryosystography and its role in the diagnosis and management of lacrimal drainage system blocks and medial canthal masses. Indian J Ophthalmol. 2008;56:31–7.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Hurwitz JJ, Edward Kassel EE, Jaffer N. Computed tomography and combined CT-dacryocystography (CT-DCG). In: Hurwitz JJ, editor. The lacrimal system. New York: Raven Press; 1996. p. 83–5.

    Google Scholar 

  18. Goldberg RA, Hienz GW, Chiu L. Gadolinium magnetic resonance imaging dacryocystography. Am J Ophthalmol. 1993;115:738–41.

    Article  CAS  PubMed  Google Scholar 

  19. Coskun B, Ilgit E, Onal B, et al. Magnetic resonance dacryocystography in evaluation of patients with obstructive epiphora treated by means of interventional radiological procedures. Am J Neuroradiol. 2012;33:141–7.

    Article  CAS  PubMed  Google Scholar 

  20. Manfre L, de Maria M, Todaro E, et al. Magnetic resonance dacryocystography: comparison with dacryocystography and CT-dacryocystography. Am J Neuroradiol. 2000;21:1145–50.

    CAS  PubMed  Google Scholar 

  21. Cubuk R, Tasali N, Aydin S, et al. Dynamic MR dacryocystography in patients with epiphora. Eur J Radiol. 2010;73:230–3.

    Article  CAS  PubMed  Google Scholar 

  22. Amrit S, Goh PS, Wang SC. Tear flow dynamics in human nasolacrimal ducts: a pilot study using dynamic magnetic resonance imaging. Graefes Arch Clin Exp Ophthalmol. 2005;243:127–31.

    Article  Google Scholar 

  23. Estes JL, Tsiouris AJ, Christos PJ, et al. 3-D volumetric assessment of the nasolacrimal duct in patients with obstructions. Ophthal Plast Reconstr Surg. 2015;31:211–4.

    Article  PubMed  PubMed Central  Google Scholar 

  24. At’Kova EL, Yartsev VD, Tomashevsky IO, et al. Treatment choice in dacryostenosis based on single-photon emission computed tomography and X-ray computed tomography findings. Vestn oftalmol. 2016;132:15–20.

    Article  PubMed  Google Scholar 

  25. Ali MJ, Vyakaranam AR, Rao JE, et al. Iodine-131 and lacrimal drainage system toxicity: nasal localization studies using the whole body nuclear scintigraphy and SPECT CT. Ophthal Plast Reconstr Surg. 2017;33:13–6.

    Google Scholar 

  26. Higashi H, Tamada T, Mizukawa K, et al. MR dacryocystography: comparison with Dacryoendoscopy in positional diagnosis of nasolacrimal duct obstruction. Radiol Med. 2016;121:580–7.

    Article  PubMed  Google Scholar 

  27. Zhang J, Chen L, Wang QX, et al. Isotropic three-dimensional fast spin- echo cube magnetic resonance dacryocystography: comparison with three-dimensional fast-recovery fast spin-echo technique. Neuroradiology. 2015;57:357–65.

    Article  PubMed  Google Scholar 

  28. Kim YH, Lee YJ, Song MJ, et al. Dacryocystocele on prenatal ultrasonography: diagnosis and postnatal outcomes. Ultrasonography. 2015;34:51–7.

    Article  PubMed  Google Scholar 

  29. Machado MA, Abreu Junior LD, Silva JA, et al. Congenital dacryocystocele: diagnosis using ante and post-natal ultrasonography. Arq Bras Oftalmol. 2014;77:261–3.

    Article  PubMed  Google Scholar 

  30. Hinton P, Hurwitz JJ, Chart PL. Liquid crystal contact thermography and lacrimal tract inflammation: a preliminary report. Can J Ophthalmol. 1984;19:176–7.

    CAS  PubMed  Google Scholar 

  31. Machado MA, Silva JA, Brioschi ML, et al. Using thermography for obstruction of the lower lacrimal system. Arq Bras Oftalmol. 2016;79:46–7.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Manipal Hospital, Bangalore, India

    Lakshmi Mahesh M.S.

  2. Govindram Seksaria Insitute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, India

    Mohammad Javed Ali F.R.C.S.

Authors
  1. Lakshmi Mahesh M.S.
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  2. Mohammad Javed Ali F.R.C.S.
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Corresponding author

Correspondence to Lakshmi Mahesh M.S. .

Editor information

Editors and Affiliations

  1. Govindram Seksaria Insitute of Dacryology, L.V.Prasad Eye Institute, Hyderabad, India

    Mohammad Javed Ali

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© 2018 Springer Nature Singapore Pte Ltd.

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Mahesh, L., Ali, M.J. (2018). Imaging Modalities for Lacrimal Disorders. In: Ali, M. (eds) Principles and Practice of Lacrimal Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-10-5442-6_11

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  • DOI: https://doi.org/10.1007/978-981-10-5442-6_11

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-5441-9

  • Online ISBN: 978-981-10-5442-6

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