Anda di halaman 1dari 23

2012

presentat ion

Lacrimal Disorders

objectives Anatomy And Physiology Approach And causes of the watery eyes Congenital NLD Obstruction Lacrimal system infections Acute Chronic
www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

anatomy Secretory
LG Tears Excretory NLS Passive Active (pump)
www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Tearing

Overproduction

obstructi on

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Lid palsy, punctal stenosis Conjunctiva Cornea: Abrasion, FB, Keratitis Glaucoma Uveitis NLD obstruction
www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Causes of Tearing : malposition, Facial

Symptoms Past ophthalmic history medical & surgical Past Medical History
www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Approac h

Visual acuity: VA
6/60 HM LP NLP
www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Approac h

Approac h Lacrimal sac swelling


Regurgitation Lids: Punctum Conjunctiva Cornea & Tear film

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Approac h in each Place a drop of fluorescein


test is positive

eye, and monitor with cobalt blue light; if a pool is still present after 5 minutes

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Dry eye
Schirmer test: Sjogren syndrome break-up time: trachoma Tear

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Congenital nasolacrimal duct obstruction

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Congenital by nasolacrimal duct obstruction Caused delayed canalization (imperforated nasal valve ) Nasolacrimal obstruction occurs in 2% of newborns On pressure reflux of purulent material from punctum Can be bilateral Role out congenital glaucoma
www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Managem ent Medical


Surgical
Probing Intubation DCR

Congenital nasolacrimal duct obstruction

Massage of nasolacrimal duct (hydrostatic pressure) Antibiotic drops..

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Usually secondary to nasolacrimal duct obstruction and tear stasis


Epiphora Canthal swelling below inner canthus Tenderness

Acute dacryocystitis

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Acute dacryocystitis
complications ophthalmic Lacrimal abscess
Presptal Cellulitis Orbital Cellulitis Orbital Abscess

CSTb Brain Abscess Death

systemic

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Bacterial conjunctivitis

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Epiphora and chronic or recurrent unilateral conjunctivitis

Chronic dacryocystitis

painless swelling at inner canthus

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Chronic dacryocystitis
Expressed mucopurulent discharge

Treatment

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Dacryocystorhinost omy

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

To finish

To finish

Put your questions

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

To finish

For your attention

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

To finish
JOIN US
Facebook.com/na me Twitter.com/name www.website.com

E-MAIL
Contact@nam e.com

www.company.com Company@mail.com +123 456 789 street 123, city, Zip code Our

Anda mungkin juga menyukai