Disease 17 - Lacrimal disorders

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Author:
sookylala
ID:
224730
Filename:
Disease 17 - Lacrimal disorders
Updated:
2013-06-23 23:36:05
Tags:
lacrimal
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Description:
lacrimal
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  1. puncta?
    posterior edge of lid margin opens into uper and lower canuliculi
  2. canaliculi?
    opens laterally into lacrimal sac
  3. lacrimal sac?
    joins to nasolacrimal duct
  4. Nasolacrimal duct?
    opening is covered by mucosal fold (valve of hasner)
  5. epiphora?
    • 1. hypersecretion- too many tears produced
    • 2. defective damage- obstruction, pump failure, malposition of puncta
  6. primary punctal stenosis?
    • chronic bleph, idiopathic, herpes, lid tumours
    • tx: dilation
  7. 2ndy punctal stenosis?
    • punctal eversion
    • tx: conjunctivolpasty
  8. PANDO
    • idiopathic inflammation of duct
    • stenosis-? 
    • F 50-70, smaller ducts, osteo/hormonal
  9. SALDO
    infectious, inflammatory, neoplastic, trauma
  10. tests?
    • expression of pus
    • DE tests
    • dilate puncta and irrigate with saline
    • Jones test
  11. Jones test?
    • 1- fluorescein-> see in tissue, no? -> 2
    • 2. syringe with fluorescein, no? lacrimal sac/lacrimal pump defect
  12. congenital nasolacrimal duct obstruction?
    • delayed canalisation near valve hasner
    • sx: epiphora, matted lashes, express pus
    • tx: massage, antib, probe
  13. chronic canaliculitis?
    • sx: pouting punctum, mucopur, epiphora, no duct obstruction/inflammation, sufur concs yellow
    • ddx: simplex
    • tx: antibiotics, massage
  14. acute dacryocyctitis?
    • infection sac
    • 2nd to obstruction
    • lead to preseptal/orbital cellulitis
  15. acute dacryocystitis sx and tx?
    • pain, tens red swelling, edema
    • tx: warm compress, antib, incisiona nd drainage
    • NO PROBING/IRRIGATION, refer
  16. chronic dacryocytitis?
    • sx: PAINLESS swelling inner canthus, pressure pus
    • tx: DCR, surgery
  17. dacryoadenitis?
    • inflammation lacrimal gland
    • S SHAPED LID
    • bi- systemic
    • uni- bacterial conj/injurt
  18. dacryoadenitis sx ddx tx?
    • sx: upper lid swelling, redness, warm, tender
    • swollen palpebral lobe, proptosis, edema upper lid, S Shaped lid
    • ddx: gland tumours, cellulitis, 
    • tx: cold compress, steroid, antib
  19. dacryops?
    • round ductal cycstic lesion
    • palpebral portion of gland
    • bi
    • asperation

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