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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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REVIEW ARTICLE
Year : 2012  |  Volume : 19  |  Issue : 1  |  Page : 60-69

Assessment and management of proximal and incomplete symptomatic obstruction of the lacrimal drainage system


Eye Research Center, Rassoul Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Mohsen Bahmani Kashkouli
Eye Plastic Unit, Rassoul Akram Hospital, Sattarkhan-Niayesh St., Tehran 14455-364
Iran
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Source of Support: Tehran University Eye Research Center, Tehran, Iran, Conflict of Interest: None


DOI: 10.4103/0974-9233.92117

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Epiphora is a common complaint of patients who present to an Ophthalmology Clinic. In many cases, epiphora is due to an obstruction in the lacrimal drainage system. However, a subgroup of symptomatic patients with epiphora has a patent lacrimal drainage system. Such cases are usually termed 'functional obstruction' and / or 'stenosis of the lacrimal drainage system'. Various etiologies and diagnostic and therapeutic approaches have been described in literature, which implies the lack of a standardized approach. This article will review the evolving diagnostic and therapeutic approaches in literature, and in the end, propose a paradigm in approaching this group of patients.


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