Document Detail

Long-term review of injuries to the lacrimal drainage apparatus.
MedLine Citation:
PMID:  297377     Owner:  NLM     Status:  MEDLINE    
A series of 57 patients with injuries to the proximal lacrimal drainage apparatus was reviewed to assess the long-term sequelae. The lower canaliculus was involved in 33 patients, the upper in ten, and both upper and lower in twelve, while the common canaliculus and lacrimal sac were each involved in one patient. It was found that either the upper or the lower canaliculus could cope independently with basal lacrimal secretions and that patients with at least one canaliculus intact had no symptoms under normal conditions. In seven patients with lower canalicular lacerations it was found that spontaneous functioning fistulae had developed nasal to the site of canalicular obstruction. The management of canalicular lacerations is discussed and it is recommended that the function of an intact canaliculus should not be jeopardized by surgical manipulations in an attempt to repair a damaged fellow canaliculus.
Y M Canavan; D B Archer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Transactions of the ophthalmological societies of the United Kingdom     Volume:  99     ISSN:  0078-5334     ISO Abbreviation:  Trans Ophthalmol Soc U K     Publication Date:  1979 Apr 
Date Detail:
Created Date:  1980-09-23     Completed Date:  1980-09-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0200570     Medline TA:  Trans Ophthalmol Soc U K     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  201-4     Citation Subset:  IM    
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MeSH Terms
Child, Preschool
Follow-Up Studies
Lacrimal Apparatus / injuries*,  surgery
Lacrimal Apparatus Diseases / etiology
Lacrimal Duct Obstruction / etiology
Middle Aged

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