Beschreibung:
Lacrimal surgeries are among the most commonly performed ones in occulopastic surgery. The procedures range from unblocking tear ducts in small children with this very minor congenital dysmorphology to correcting dry eye through surgery. As with many of these procedures, the disorders sound minor but the patients' lives are seriously affected. Dry eye is more than an inconvenience, sometimes leading to corneal microabrasions, infections, and photosensitivity. Dry eye is caused by any number of systemic autoimmune disorders such as lupus or arthritis, excessive radiation, drug reactions, old age, and lasik and other surgeries.
"Lacrimal system surgery is among the most common procedures performed by oculoplastic surgeons. Surgical intervention ranges from probing and intubation of blocked nasolacrimal ducts to endoscopic dacryocystorhinostomy.
Anatomy.- Anatomy of the Lacrimal System.- Gender and Racial Variations of the Lacrimal System.- Nasal Anatomy and Evaluation.- Diagnosis.- Congenital Etiologies of Lacrimal System Obstructions.- Acquired Etiologies of Lacrimal System Obstructions.- Evaluation of the Tearing Patient.- Imaging and Clinical Evaluation of the Lacrimal Drainage System.- Management and Surgical Techniques.- The Tear-Deficient Patient.- Surgery of the Punctum and Canaliculus.- Lacrimal Trauma.- Primary External Dacryocystorhinostomy.- Primary Endonasal Dacryocystorhinostomy.- Transcanalicular Dacryocystorhinostomy.- Conjunctivodacryocystorhinostomy.- Endoscopic Conjunctivodacryocystorhinostomy.- Pediatric Balloon Catheter Dacryocystoplasty.- Balloon-Assisted Dacryoplasty in Adults.- Balloon-Assisted Lacrimal Surgery.- Nine-Millimeter Endoscopic Balloon Dacryocystorhinostomy: A New, Less-Invasive Procedure for Tearing in Adults.- Radiofrequency Dacryocystorhinostomy.- Powered Endoscopic Dacryocystorhinostomy.- Laser Dacryocystorhinostomy: Part 1. Laser-Assisted Endonasal Endoscopic Dacryocystorhinostomy.- Laser Dacryocystorhinostomy: Part 2. Laser-Assisted Endonasal Endoscopic Dacryocystorhinostomy with the Holmium:YAG Laser.- Laser Dacryocystorhinostomy: Part 3. Laser-Assisted Endonasal Endoscopic Dacryocystorhinostomy with the Potassium Titanyl Phosphate Laser.- Revision Dacryocystorhinostomy.- The Adjunctive Use of Mitomycin C in Dacryocystorhinostomy.- The Griffiths Nasolacrimal Catheter.- The Sisler Lacrimal Canalicular Trephine.