Purpose: Analysis of causes of epiphora in patients which have been examined in Department of Ophthalmology in Military Institute of Health Service from 2004 to 2007.
Material And Methods: The study has comprised 330 subjects: 241 women and 89 men (mean age 58.85 +/- 19.93 years). All patients have been examined because of epiphora (eyelid and lacrimal punctum position, medial canthal tendon laxity--horizontal resting position, lateral distraction test, fluorescein dye disappearance test, syringing of the upper and lower canaliculus, dacryocystography and/or lacrimal scintigraphy).
Results: There have been 3% patients with epiphora who have been examined in our clinic. Duration of epiphora has been mean 39.24 months. The main causes of epiphora have been: primary acquired nasolacrimal duct obstruction, idiopathic acquired dacryostenosis, punctal stenosis (22.42%, 19.7%, 19.09%), and rare: diverticulum, punctal papilloma, stenosis after radiotheraphy, Recklinghausen's disease.
Conclusions: The correct diagnosis is the condition for the proper planning of the therapy schedule. Epiphora is frequent and annoying symptom.
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