Dakryozystographische Befunde und therapeutische Konsequenzen

Busse, H.; Jünemann, G; Mewe, L.

doi:10.1007/978-3-642-87151-1_17

Cited by 4 publications

(2 citation statements)

References 2 publications

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“…Clinically an ectatic, enlarged lacrimal sac is the typical sign of a chronic dacryostenosis (Figure 10). To acertain the diagnosis the following examinations must be made: a slitlamp examination of the lacrimal puncta, of the conjuctiva and of the anterior segment of the globe (Busse and Hollwich, 1978), the 'lacrimal punctum excursion test' (Jtinemann and Schulte, 1974), the diagnostic irrigation of the lacrimal passage (Bangerter, 1953), the nasal dye test (Fischer, 1918), the canaliculus test (West, 1918), the Jones test I and II (Jones, 1966), the standardized A-scan echography (Rochels et al, 1984) and the dacryocystography (Figure 9, 12) (Aubaret, 1911;Szily, 1914;Busse et al, 1979;Gullotta and Denffer, 1980). To acertain the diagnosis the following examinations must be made: a slitlamp examination of the lacrimal puncta, of the conjuctiva and of the anterior segment of the globe (Busse and Hollwich, 1978), the 'lacrimal punctum excursion test' (Jtinemann and Schulte, 1974), the diagnostic irrigation of the lacrimal passage (Bangerter, 1953), the nasal dye test (Fischer, 1918), the canaliculus test (West, 1918), the Jones test I and II (Jones, 1966), the standardized A-scan echography (Rochels et al, 1984) and the dacryocystography (Figure 9, 12) (Aubaret, 1911;Szily, 1914;Busse et al, 1979;Gullotta and Denffer, 1980).…”

Section: Chronic Dacryostenosismentioning

confidence: 99%

The postsaccal, idiopathic dacryostenosis ? experimental and clinical aspects

Steinkogler¹

1986

Doc Ophthalmol

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The 'idiopathic' dacryostenosis has not yet been cleared up in its aetiological aspects. For further explanation of aetiology and pathomechanisms an experimental, anatomical study was made. Its object was to define the angles and measurements within the bony lacrimal structures and to establish possible connections between the development of the postsaccal stenosis and certain bony constellations of the lacrimal system. The main goal of these examinations was to determine the angle between the lacrimal fossa and the main direction of the nasolacrimal canal, as well as the angles which are found in the course of the nasolacrimal canal. Macerated half skulls obtained from anatomical dissection courses were used for this study. After cleaning the bony lacrimal passages, the distal orifice of the nasolacrimal canal was closed with bone wax. The canal and the lacrimal fossa were filled with epoxy resin. After hardening the preparations were radiographed in order to make sure that the whole system was completely filled with resin. Then the surrounding bone was removed chemically and the resin casts were laid free. They were photographed and the photographs were traced and measured. A trigonometric method was then used for constructing the maximum angle between the lacrimal fossa and nasolacrimal canal. This angle was mainly directed dorsomedially and showed a considerable amount of variation. A bony system with a large angle increases the possibility of acquiring a postsaccal dacryostenosis. The bony angle is one of many factors facilitating an ascending inflammation in the lacrimal mucosa. Clinically we have to differentiate the acute, fresh dacryocystitis from the chronic, recurrent dacryocystitis. The main symptoms are epiphora, pain and inflammation in the medial canthal area and headache. The most important diagnostic examinations are the slitlamp examination of the eyelids, of the lacrimal puncta and of the anterior segment of the globe, the 'lacrimal punctum excursion test', the diagnostic rinse of the lacrimal passages, the dacryocystography and the rhinological examination. The result of a successful treatment of the acute, beginning dacryocystitis is to open the incomplete, transitory, distal stenosis of the nasolacrimal duct. The stenosis is caused by an ascending inflammation from the nose and by the swelling of the lacrimal mucosa. The blockage can be solved by massage after application of vasoconstrictory drops. The therapy of a complete, postsaccal lacrimal stenosis always has to be a dacryocystorhinostomia externa ('Toti-operation'). The Kaleff-Hollwich modification proved successful and is extended by a fibrin sealing method.(ABSTRACT TRUNCATED AT 400 WORDS)

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Section: Chronic Dacryostenosismentioning

confidence: 99%

The postsaccal, idiopathic dacryostenosis ? experimental and clinical aspects

Steinkogler¹

1986

Doc Ophthalmol

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“…Slit lamp examination of the lacrimal puncta, the conjunctiva and of the anterior segment of the globe is the first step [8], followed by the lacrimal puncture excursion test [9], the canaliculus test [10], the Jones-test one and two [11], the diagnostic syringing of the lacrimal pathways [12], the standardized A-scan echography [13] and dacryocystography [14]. Is it often useful to provide a rhinological status additionally [15].…”

Section: Discussionmentioning

confidence: 99%

Videodocumentation in digital dacryocystography

1991

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The digital dacryocystography proved to be the optimum method of X-ray diagnostics in obstructions of the lacrimal pathways. The examination was performed with a computer controlled X-ray unit with a C-arc coupled to an image intensifier tv-system. In the study the advantages of this technique were combined with the advantages of modern videotechnique. A nonionic water soluble contrast medium was used. The bilateral contrast medium filling process was registrated and the findings were recorded on videotape concurrently. The videocassettes, marked with the data of the patients and the date of examination, are stored in a video-tape library. This provides an always repeatable diagnostic documentation and it is also an excellent base for scientific analyses. The technique and the results of the examinations, performed with 18 patients, are described.

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