Lacrimal sac
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View Yahya Baba's current disclosures- Nasolacrimal sac
The lacrimal (or nasolacrimal) sac forms part of the nasolacrimal drainage apparatus. It is located in the preseptal part of the orbit.
Gross anatomy
The lacrimal sac lies in the lacrimal fossa on the inferomedial aspect of the bony orbit between the posterior and anterior lacrimal crests. It may normally contain fluid and/or gas. The lacrimal sac has a superior fundus that tapers inferiorly to a slimmer body; the roof of the lacrimal sac is also known as the fornix (or fornix sacci lacrimalis). The sac receives the lacrimal canaliculi before it drains via the valve of Krause into the nasolacrimal duct. It is enclosed by the lacrimal fascia and the orbicularis oculi muscle.
Related pathology
- dacryocystitis
- dacryolithiasis
- dacryocystocele
- nasolacrimal duct obstruction: most common at the valve of Krause 3
- lacrimal sac infections preferentially spread in the preseptal part of the orbit causing orbital cellulitis
References
- 1. Russell EJ, Czervionke L, Huckman M et-al. CT of the inferomedial orbit and the lacrimal drainage apparatus: normal and pathologic anatomy. AJR Am J Roentgenol. 1985;145 (6): 1147-54. doi:10.2214/ajr.145.6.1147 - Pubmed citation
- 2. Gray's basic anatomy. Churchill Livingstone. ISBN:1455710784. Read it at Google Books - Find it at Amazon
- 3. Francisco FC, Carvalho AC, Francisco VF et-al. Evaluation of 1000 lacrimal ducts by dacryocystography. Br J Ophthalmol. 2006;91 (1): 43-6. doi:10.1136/bjo.2005.088187 - Free text at pubmed - Pubmed citation
- 4. Osama A. Raslan, Arzu Ozturk, Nancy Pham, Jennifer Chang, Edward B. Strong, Matthew Bobinski. A Comprehensive Review of Cross-Sectional Imaging of the Nasolacrimal Drainage Apparatus: What Radiologists Need to Know. (2019) American Journal of Roentgenology. doi:10.2214/AJR.19.21507 - Pubmed
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