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Klin Monbl Augenheilkd 2022; 239(01): 46-56
DOI: 10.1055/a-1717-2110
Übersicht

Congenital Anomalies in Lacrimal Drainage

Article in several languages: deutsch | English
Jens Heichel
1   Klinik für Augenheilkunde, Universitätsklinik Halle, Deutschland
,
Ludwig M. Heindl
2   Zentrum für Augenheilkunde, Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Köln, Deutschland
,
Hans-Gert Struck
1   Klinik für Augenheilkunde, Universitätsklinik Halle, Deutschland
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Abstract

Congenital dacryostenosis is the most common reason for ophthalmic consultation in childhood. It is most often caused by persisting of Hasnerʼs membrane. However, congenital malformations of the lacrimal drainage system can also occur in rare cases. In the area of the proximal lacrimal drainage system, supernumerary lacrimal puncta and canaliculi can arise as well as diverticula, fistula, and atresia. The distal lacrimal drainage system can be affected by fistulas, amniotoceles, and cysts. Association of lacrimal malformations with congenital systemic diseases is reported in about 10% of cases. Depending on the severity of the symptoms, surgical rehabilitation can be performed, and endoscopic procedures and modern lacrimal drainage intubation systems may be employed.

Key words

dacryostenosis - connatal dacryostenosis - lacrimal malformations - lacrimal surgery - lacrimal atresia - lacrimal fistula


Publication History

Received: 27 September 2021

Accepted: 07 December 2021

Article published online:
04 February 2022

© 2022. Thieme. All rights reserved.

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