By Friedrich Paulsen (auth.), Prof. Dr. R. K. Weber, Dr. R. Keerl, Dr. S. D. Schaefer, Dr. R. C. Della Rocca (eds.)
The occurrence of stenosis of the lacrimal procedure is expanding. Nasolacrimal illnesses and difficulties are encountered by way of otolaryngologists, ophthalmologists, plastic surgeons and radiologists. consistent epiphora is the most typical symptom linked to nasolacrimal duct obstruction.
This is the 1st ebook to hide all at the moment on hand the way to deal with pre-, intra- and post-lacrimal sac stenosis. finished multidisciplinary ways in adults and kids are defined. overseas specialists offer a stepwise research and describe the scientific administration of those sufferers with unique scientific and surgical operation plans. in addition, the accompanying DVD provides movies on surgical equipment resembling endonasal and exterior DCR; endoscopic as opposed to microscopic method; lacrimal endoscopy and transcanalicular surgical procedure; laser DCR and DCR in childrens; annoying lesions; interventional radiology and stenting; and conjunctivorhinostomy and Jones tube.
With this wonderful advisor the reader should be in a position to remedy any challenge that could take place with the reconstruction of a disturbed or broken lacrimal system.
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Additional info for Atlas of Lacrimal Surgery
49 Q The surgeon should be able to answer whether surgery is indicated, and if that is so, the surgery should be directed at the lacrimal apparatus, the eyelids, and punctum, or both. e. history, palpation, FDT, syringing and proviny, may readily yield definitive results; however, at times, more testing, including radiography, may be neccesary to arrive at a specific diagnosis and subsequent recommendations. Q Nuclear lacrimal scintigraphy is useful only in those patients whose lacrimal system is patent to syringing.
First the probe is passed vertically through the punctum and then horizontally with the eyelid on a stretch until it encounters the lacrimal bone or meets the canalicular obstruction. , it is suggested that the probe passed into the sac, touched its medial wall, and the common canaliculus is patent (Fig. 7). If there was a reflux through the opposite punctum in syringing a “hard stop” suggests an obstruction of the sac or duct. e. the distance between the punctum and obstruction is measured. It is necessary to evaluate the opposite canaliculus as well.
External Examination and Palpation . . . . . . Excretory Tests . . . . . . . . . . . . . . . Fluorescein Dye Disappearance Test . . . . . . Jones Fluorescein Tests and Saccharine Test. . . 1 Introduction Two basic causes of tearing exist, epiphora associated with blockage of the lacrimal system, and excess lacrimation which is less frequent. Lacrimation (hypersecretion, reflex tearing, hyperlacrimation) is excessive tearing caused by reflex hypersecretion due to the irritation of the cornea or conjunctiva [9, 12, 19].
Atlas of Lacrimal Surgery by Friedrich Paulsen (auth.), Prof. Dr. R. K. Weber, Dr. R. Keerl, Dr. S. D. Schaefer, Dr. R. C. Della Rocca (eds.)