Lacrimal Dis

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    LacrimalDisorders2012 prese

    ntat

    ion

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    objectives

    Anatomy And Physiology

    Approach And causes of thewatery eyes

    Congenital NLD Obstruction

    Lacrimal system infections

    Acute

    Chronic [email protected]+123 456 789Our street 123, city, Zip code

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    anatomySecretory

    LG Tears

    Excretory

    NLS

    Passive

    Active (pump)[email protected]+123 456 789Our street 123, city, Zip code

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    Tearing

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    Over-production

    obstron

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    Lid : malposition, Facial

    punctal stenosisConjunctiva

    Cornea: Abrasion, FB, Keratit

    Glaucoma

    Uveitis

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    Causes of Tearing

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    h

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    SymptomsPast ophthalmic history medical & surgical

    Past Medical History

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    h

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    Visual acuity: VA 6/60

    HM LP

    NLP

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    h

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    Lacrimal sac swelling

    Regurgitation

    Lids: Punctum

    ConjunctivaCornea & Tear film

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    h

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    Place a drop of fluorescein in eacheye, and monitor with cobalt blue

    light; if a pool is still present after 5

    minutes

    test is positive

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    Dry eye

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    Schirmer test: Sjogren syndrome break-up time: trachoma

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    Congenital nasolacrimal duct ob

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    Congenital nasolacrimal duct ob Caused by delayed cana(imperforated nasal valve )

    Nasolacrimal obstruction occurs inewborns

    On pressure reflux of purulent

    from punctum Can be bilateral

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    Congenital nasolacrimal duct ob

    Medical Massage of nasolacrimal duct (hydrostatic

    pressure)

    Antibiotic drops..

    Surgical Probing

    Intubation

    DCR [email protected]+123 456 789Our street 123, city, Zip code

    Managem

    ent

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    Acute dacryocystit

    Epiphora

    Canthal swelling below inner canthus

    Tenderness

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    Usually secondary to

    nasolacrimal duct obstructionand tear stasis

    A d

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    Acute dacryocyst

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    Lacrimal abscess

    Presptal CellulitisOrbital Cellulitis

    Orbital Abscess

    complicationsophthalmic systemCSTb

    Brain Abscess

    Death

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    Bacterial conjunct

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    C

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    Chronic dacryocyst

    painless swelling at inner canthus

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    Epiphora and chronic or

    recurrent unilateralconjunctivitis

    Ch i d

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    Chronic dacryocyst

    Expressed mucopurulent discharge

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    reatment

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    omy

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    To finish

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    To finish

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    Put your questions

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    To finish

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    For your attentio

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    To finish

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    JOIN US

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