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An Anatomical Approach to Problems of the Eyelids and Lacrimal Apparatus

An Anatomical Approach to Problems of the Eyelids and Lacrimal Apparatus Abstract The title of this paper is somewhat ambiguous in that the eyelids are actually an integral part of the lacrimal system. A better definition might be that the lacrimal apparatus is made up of 3 parts: (1) the secretory system, consisting of the various glands; (2) the distributional system, consisting of the lids which not only carry the fluid to all parts of the conjunctival sac, but also furnish the motor power for the lacrimal pump; and (3) the excretory system. This paper is presented with the hope that a detailed anatomical description of certain parts of the lacrimal apparatus will enable us to select more successful methods of treating its disorders. Anatomy A. The Eyelids. —1. Skin and Subcutaneous Fascia: Although these are 2 distinct entities, they may be treated grossly as one layer which is very thin and somewhat elastic. The palpebral furrows divide it into 2 parts References 1. Contains polymyxin B sulfate, 5,000 units; bacitracin, 400 units; neomycin sulfate, 5 mg.; hydrocortisone (free alcohol), 10 mg. (1%). 2. These Pyrex glass tubes can be ordered in nearly any length and diameter from Custom Fabricators, 3312 S.E. Belmont St., Portland, Ore. 3. Wolff, E.: The Anatomy of the Eye and Orbit , Ed. 4, Philadelphia, Blakiston Company (division of McGraw-Hill Book Company, Inc.), 1954, p. 163. 4. Jones, L. T., and Boyden, G. L.: The Lacrimal Apparatus , in Otolaryngology , Vol. 3, Hagerstown, Md., W. F. Prior Company, Inc., 1959, Chap. 29, p. 5. 5. Whitnall, S. E.: Anatomy of the Human Orbit and Accessory Organs of Vision , Ed. 2, New York, Oxford University Press, 1932, p. 152. 6. Whitwell, J.: Denervation of the Lacrimal Gland , Brit. J. Ophthal. 42:518, 1958.Crossref 7. Schaeffer, J. P.: The Genesis and Development of the Nasolacrimal Passages in Man , Amer. J. Anat. 13:1, 1912-1913.Crossref 8. Kuribayashi, Y.: Observation of the Opening of Nasolacrimal Duct (Report II) , Jap. J. Ophthal. 1:96, 1957. 9. Nagashima, K.: Studies on the Function of the Lacrimal Passage , Acta Soc. Ophthal. Jap. 62:9; and 578, 1958. 10. Fox, S. A.: Ophthalmic Surgery , Ed. 2, New York, Grune & Stratton, Inc., 1958, p. 74. 11. Jacobs, H. B.: Epiphora Due to Weak Lid Muscles , Brit. J. Ophthal. 43:332, 1959.Crossref 12. de Roetth, A., Sr.: Lacrimation, Normal and Abnormal , Trans. Pacif. Coast Otoophthal. Soc. 33:197, 1952. 13. Dupuy-Dutemps, and Bourguet: Plastic Operation for Chronic Dacryocystitis , Bull. Acad. Nat. Med. (Par) 86:293, 1921. 14. Jones, L. T.: Epiphora: Its Relation to the Anatomic Structures and Surgery of the Medial Canthal Region , Trans. Pacif. Coast Otoophthal. Soc. 37:31, 1956. 15. Bennett, J. E.; Armstrong, J. R.: Jones, R. E., and Schiller, F.: Conjunctivoantrorhinostomy , A.M.A. Arch. Ophthal. 62:248, 1959.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

An Anatomical Approach to Problems of the Eyelids and Lacrimal Apparatus

Archives of Ophthalmology , Volume 66 (1) – Jul 1, 1961

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Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1961.00960010113025
Publisher site
See Article on Publisher Site

Abstract

Abstract The title of this paper is somewhat ambiguous in that the eyelids are actually an integral part of the lacrimal system. A better definition might be that the lacrimal apparatus is made up of 3 parts: (1) the secretory system, consisting of the various glands; (2) the distributional system, consisting of the lids which not only carry the fluid to all parts of the conjunctival sac, but also furnish the motor power for the lacrimal pump; and (3) the excretory system. This paper is presented with the hope that a detailed anatomical description of certain parts of the lacrimal apparatus will enable us to select more successful methods of treating its disorders. Anatomy A. The Eyelids. —1. Skin and Subcutaneous Fascia: Although these are 2 distinct entities, they may be treated grossly as one layer which is very thin and somewhat elastic. The palpebral furrows divide it into 2 parts References 1. Contains polymyxin B sulfate, 5,000 units; bacitracin, 400 units; neomycin sulfate, 5 mg.; hydrocortisone (free alcohol), 10 mg. (1%). 2. These Pyrex glass tubes can be ordered in nearly any length and diameter from Custom Fabricators, 3312 S.E. Belmont St., Portland, Ore. 3. Wolff, E.: The Anatomy of the Eye and Orbit , Ed. 4, Philadelphia, Blakiston Company (division of McGraw-Hill Book Company, Inc.), 1954, p. 163. 4. Jones, L. T., and Boyden, G. L.: The Lacrimal Apparatus , in Otolaryngology , Vol. 3, Hagerstown, Md., W. F. Prior Company, Inc., 1959, Chap. 29, p. 5. 5. Whitnall, S. E.: Anatomy of the Human Orbit and Accessory Organs of Vision , Ed. 2, New York, Oxford University Press, 1932, p. 152. 6. Whitwell, J.: Denervation of the Lacrimal Gland , Brit. J. Ophthal. 42:518, 1958.Crossref 7. Schaeffer, J. P.: The Genesis and Development of the Nasolacrimal Passages in Man , Amer. J. Anat. 13:1, 1912-1913.Crossref 8. Kuribayashi, Y.: Observation of the Opening of Nasolacrimal Duct (Report II) , Jap. J. Ophthal. 1:96, 1957. 9. Nagashima, K.: Studies on the Function of the Lacrimal Passage , Acta Soc. Ophthal. Jap. 62:9; and 578, 1958. 10. Fox, S. A.: Ophthalmic Surgery , Ed. 2, New York, Grune & Stratton, Inc., 1958, p. 74. 11. Jacobs, H. B.: Epiphora Due to Weak Lid Muscles , Brit. J. Ophthal. 43:332, 1959.Crossref 12. de Roetth, A., Sr.: Lacrimation, Normal and Abnormal , Trans. Pacif. Coast Otoophthal. Soc. 33:197, 1952. 13. Dupuy-Dutemps, and Bourguet: Plastic Operation for Chronic Dacryocystitis , Bull. Acad. Nat. Med. (Par) 86:293, 1921. 14. Jones, L. T.: Epiphora: Its Relation to the Anatomic Structures and Surgery of the Medial Canthal Region , Trans. Pacif. Coast Otoophthal. Soc. 37:31, 1956. 15. Bennett, J. E.; Armstrong, J. R.: Jones, R. E., and Schiller, F.: Conjunctivoantrorhinostomy , A.M.A. Arch. Ophthal. 62:248, 1959.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1961

References