Equis ISSN 2398-2977

Nasolacrimal duct: nasal puncta opening

Contributor(s): Paul E Miller, Graham Munroe

Introduction

  • Congenital nasolacrimal duct abnormalities are not uncommon and often involve atresia of the nasal or eyelid punctum   Nasolacrimal duct: puncta - atresia  .
  • Medical treatments are only paliative.
  • Surgical treatment is the treatment of choice.

Uses

  • To establish the nasal or eyelid punctum of the nasolacrimal duct.

Advantages

  • Highly effective especially in nasal puncta abnormalities.
  • Relatively simple technique.
  • Requires no specialist equipment.

Disadvantages

  • Usually requires general anesthesia (GA).
  • More difficult where multiple nasolacrimal duct abnormalities are present.
  • Long-term post-operative care is essential to success.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Poor without surgery.
  • Guarded if multiple defects.
  • Fair if eyelid puncta affected.
  • Good if only nasal puncta affected.

Further Reading

Publications

Refereed papers


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