Adult nasolacrimal duct obstruction
Shermetaro, C.; Gladstone, G.J.
Journal of the American Osteopathic Association 94(3): 229-232
1994
ISSN/ISBN: 0098-6151 PMID: 8200826 Document Number: 423641
Tear production resulting from obstruction of the nasolacrimal duct is a common ophthalmic problem. The diagnosis and treatment of this condition require a thorough understanding of the lacrimal apparatus and its ocular and nasal relationships. Idiopathic or primary acquired nasolacrimal duct obstruction is a syndrome of unknown etiology. Of all nontraumatic forms, it accounts for the vast majority of cases found in adults. The authors discuss a number of potential causes, some of them iatrogenic and discuss the technique of dacryocystorhinostomy, the standard surgical treatment, in detail.