Post-saccular lacrimal duct stenosis

Case contributed by Dr Domenico Nicoletti


Right eye epiphora for six months

Patient Data

Age: 60
Gender: Male

Post saccular narrowing from prior tear after dacryocystitis.

The left lacrimal ducts of are channeled with contrast medium in the nasopharynx.

Case Discussion

The lacrimal duct drains tears from the eye down into the nose.

The opening of the duct is near the inner corner of the eye.

One of the most frequent problems of the lacrimal pathways is stenosis and blockage of the tear flow.

In this case the stagnation due to the overflow of the tears from the eye, and then a continuous tearing.

Complications of post saccular stenosis are infections with abscess formation that require drainage.

The stenosis may be congenital, in which case they present in newborns.

The acquired strictures typically happen in adults with history of nasal pathology of the same side due to prior trauma or obstructing mass lesion.


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Case information

rID: 43884
Published: 27th Mar 2016
Last edited: 28th Mar 2016
System: Head & Neck
Inclusion in quiz mode: Included

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