Abstract
The tearing eye (epiphora) is deemed to be the leading symptome of efferent tear duct
stenosis. Nevertheless, epiphora might be caused by ocular surface pathologies or
even intraocular diseases. A distinguished anamnesis and sufficient clinical examination
is most meaningful for the differential diagnostic distinction. Therapy is based on
pathologic changes. In case of ocular surface disease, a suitable tear substitution
and antiinflammatory approach is mandatory. Multifarious triggers have to be considered
as well. Addressing tear film distribution, suitable oculoplastic surgery is required.
Efferent tear duct stenosis necessitates surgical treatment as the level of suffering
is often very high and acute exacerbations may develop. Besides recanalization, anastomosing
techniques represent the available therapeutic principles. Possible surgical approaches
offer a great variety and many influencing factors navigate therapy decisions. This
part of the review comments on the most important therapeutic approaches for lacrimal
apparatus diseases.
Erkrankungen des Tränenapparats gehen mit starken Beschwerden und einem hohen Leidensdruck
der Patienten einher. Sie stören die Homöostase der Augenoberfläche und können zu
schwersten Sehstörungen bis hin zum Visusverlust führen. Die Gliederung in Tränenproduktion,
-verteilung und -abtransport muss auch bei der Therapieplanung Berücksichtigung finden.
Schlüsselwörter
Dakryoendoskopie - Dakryozystorhinostomie - konnatale Dakryostenose - Tumoren - Augenoberfläche
- Sicca-Syndrom
Key words
dacryoendoscopy - dacryocystorhinostomy - congenital dacryostenosis - tumors - ocular
surface - Sicca-Syndrome
