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Disease of Lacrimal Apparatus
Presented By,
Optom. Saharukh Alam
(D Optometry, B Optometry)
Symptoms and Signs:-
The disease of lacrimal apperatus is devided into two groups
1. Abnormalities of Lacrimal Glands:-
i. Excessive Tear Secretion.
ii. Deficient Tear Formation.
2. Defect in the Lacrimal Drainage System:-
i. Caused Watering from eye.
ii. Obstructed lacrimal sac causes inflammation.
iii. Excessive tear secretion.
Disease of Lacrimal Gland:-
1. Acute Dacryoadenitis:-
It is charactarized by acute local
pain, swelling and tenderness and
drooping of the upper eye lid with
characteristic S-shaped curve.
Treatment:- Antibiotic with local hot
compress may be require.
2. Chronic Dacryoadenitis:-
A proliferative inflammation of the
lacrimal gland may occur as a part
generalized granulomatus disorders.
It present as a painless, firm and
mobile swelling of lacrimal gland.
Treatment:- i. Surgical Excision.
ii. Marsupialization of
Cyst.
3. Lacrimal Gland Tumors:-
It is very rare and present in middle
aged, progress slowly until they
become hard nodular, lump.
Treatment:- i. A biopsy may be
needed for diagnosis.
ii. If malignant report
present, surgical removal required.
Disease of Lacrimal Passage
1. Canaliculitis:-
I. Acute Canaliculitis:- It is usually a herpes
simplex infection and self limiting.
II. Chronic Canaliculitis:- It is most
commonly caused by Actinomyces israelii.
Clinical Features:- i. Discharge. ii. Stone
Formation in sac. iii. Foreign Body Sensation.
Treatment:- i. It is by removal of foreign body or
by dialiting the canaliculitis.
ii. In case of CC block, require
conjunctivo- dacryosystorhinostomy (C-DCR) with
bypass tube is helpful.
2. Dacryocystitis:-
It is an acute or chronic inflammation of lacrimal
sac.
Etiology:- i. Seen in newborn. ii. Left side more
affected. iii. Inflammation of sac.
Types:- i. Acute Dacryocystitis.
ii. Chronic Dacryocystitis.
* Congenital Type
* Adult Type.
Treatment:- i. In Acute, hot compress and
antibiotic require.
ii. In Chronic, Hydrostatic Sac
Massage, Probing, intubation are required.
Thank You
All The Best

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Disease of lacrimal apperatus.ppt by Optom. Saharukh Alam

  • 1. Disease of Lacrimal Apparatus Presented By, Optom. Saharukh Alam (D Optometry, B Optometry)
  • 2. Symptoms and Signs:- The disease of lacrimal apperatus is devided into two groups 1. Abnormalities of Lacrimal Glands:- i. Excessive Tear Secretion. ii. Deficient Tear Formation. 2. Defect in the Lacrimal Drainage System:- i. Caused Watering from eye. ii. Obstructed lacrimal sac causes inflammation. iii. Excessive tear secretion.
  • 3. Disease of Lacrimal Gland:- 1. Acute Dacryoadenitis:- It is charactarized by acute local pain, swelling and tenderness and drooping of the upper eye lid with characteristic S-shaped curve. Treatment:- Antibiotic with local hot compress may be require.
  • 4. 2. Chronic Dacryoadenitis:- A proliferative inflammation of the lacrimal gland may occur as a part generalized granulomatus disorders. It present as a painless, firm and mobile swelling of lacrimal gland. Treatment:- i. Surgical Excision. ii. Marsupialization of Cyst.
  • 5. 3. Lacrimal Gland Tumors:- It is very rare and present in middle aged, progress slowly until they become hard nodular, lump. Treatment:- i. A biopsy may be needed for diagnosis. ii. If malignant report present, surgical removal required.
  • 6. Disease of Lacrimal Passage 1. Canaliculitis:- I. Acute Canaliculitis:- It is usually a herpes simplex infection and self limiting. II. Chronic Canaliculitis:- It is most commonly caused by Actinomyces israelii. Clinical Features:- i. Discharge. ii. Stone Formation in sac. iii. Foreign Body Sensation. Treatment:- i. It is by removal of foreign body or by dialiting the canaliculitis. ii. In case of CC block, require conjunctivo- dacryosystorhinostomy (C-DCR) with bypass tube is helpful.
  • 7. 2. Dacryocystitis:- It is an acute or chronic inflammation of lacrimal sac. Etiology:- i. Seen in newborn. ii. Left side more affected. iii. Inflammation of sac. Types:- i. Acute Dacryocystitis. ii. Chronic Dacryocystitis. * Congenital Type * Adult Type. Treatment:- i. In Acute, hot compress and antibiotic require. ii. In Chronic, Hydrostatic Sac Massage, Probing, intubation are required.