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Mechanism of Tear Flow After Dacryocystorhinostomy and Jones' Tube Surgery

Mechanism of Tear Flow After Dacryocystorhinostomy and Jones' Tube Surgery Abstract • In the 42 patients (84 eyes) in this study, 32 eyes had dacryocystorhinostomy (DCR), 15 had Jones' tube insertions, and the remaining 37 were considered controls. All patients were studied using nuclear scanning with computer interfac ing quantitative lacrimal scintillography to determine the effects of blinking, respiration, and gravity on their functioning. Tears flowed through DCR openings faster than through the systems of normal patients. Patients with Jones' tubes demonstrated slower flow than in normal patients. The effect of respiration on tear flow was minimal, but blinking and lid function were important. Patients with eyelid laxity may show decreased flow even if the DCR and Jones' tubes are functional. References 1. Jones LT: The cure of epiphora due to canalicular disorders, trauma and surgical failures on the lacrimal passages . Trans Am Acad Ophthalmol Otol 1962;66:506-524. 2. Del Castillo JM: On the gravity as one of the impelling forces of lacrimal flow , in Yamaguchi M (ed): Recent Advances on the Lacrimal System: Proceedings of the Third International Symposium on the Lacrimal System . Ashai, Japan 3. Ashai Evening News , 1978, p 51. 4. Hurwitz JJ, Maisey MN, Welham RAN: Quantitative lacrimal scintillography: Method and physiological application . Br J Ophthalmol 1975;59:308-312.Crossref 5. Schirmer O: Studien zur Physiologie und Pathologie der Tranenadesorderung und Tranenabfuhn . Graefes Arch Clin Exp Ophthalmol 1903; 56:196.Crossref 6. Rosengren B: Lacrimal drainage . Ophthalmologica 1972;164:409-421.Crossref 7. Milder B, Demorest BH: Dacryocystography: The normal lacrimal apparatus . Arch Ophthalmol 1954;51:180-195.Crossref 8. Pico G: Dacryocystorhinostomy . Trans Am Acad Ophthalmol Otol 1958;62:709-711. 9. Jones LT, Wobig JL: Surgery of the Eyelids and Lacrimal System. Birmingham, Ala, Aesculapius Publishing Co, 1976. 10. Rossomondo RN, Carlton WH, Trueblood JH: A new method of evaluating lacrimal drainage . Arch Ophthalmol 1972;88:523-525.Crossref 11. Hurwitz JJ, Maisey MN, Welham RAN: Quantitative lacrimal scintillography: Lacrimal pathology . Br J Ophthalmol 1975;59:313-322.Crossref 12. Chavis RM, Welham RAN, Maisey MN: Quantitative lacrimal scintillography . Arch Ophthalmol 1978;98:96-98. 13. Doucet TW, Hurwitz JJ, Chin Sang H: Lacrimal scintillography: Advances and functional applications . Surv Ophthalmol 1982;27:105-113.Crossref 14. Chenoweth DR, Hurwitz JJ: A head holder for radionuclide dacryocystography . Radiology 1976;120:730.Crossref 15. Hurwitz JJ: Investigation and treatment of epiphora due to lid laxity . Trans Ophthalmol Soc UK 1978;98:69-70. 16. Werb A: A clinical approach to lacrimal problems , in Yamaguchi M (ed): Recent Advances on the Lacrimal System: Proceedings of the Third International Symposium on the Lacrimal System. Ashai, Japan; Ashai Evening News , 1978, p 42. 17. Doucet TW, Hurwitz JJ: Canaliculodacryocystorhinostomy in the management of unsuccessful lacrimal surgery . Arch Ophthalmol 1982; 100:619-621.Crossref 18. Doucet TW, Hurwitz JJ: Canaliculodacryocystorhinostomy in the treatment of canalicular obstruction . Arch Ophthalmol 1982;100:306-309.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Mechanism of Tear Flow After Dacryocystorhinostomy and Jones' Tube Surgery

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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1984.01040031333020
Publisher site
See Article on Publisher Site

Abstract

Abstract • In the 42 patients (84 eyes) in this study, 32 eyes had dacryocystorhinostomy (DCR), 15 had Jones' tube insertions, and the remaining 37 were considered controls. All patients were studied using nuclear scanning with computer interfac ing quantitative lacrimal scintillography to determine the effects of blinking, respiration, and gravity on their functioning. Tears flowed through DCR openings faster than through the systems of normal patients. Patients with Jones' tubes demonstrated slower flow than in normal patients. The effect of respiration on tear flow was minimal, but blinking and lid function were important. Patients with eyelid laxity may show decreased flow even if the DCR and Jones' tubes are functional. References 1. Jones LT: The cure of epiphora due to canalicular disorders, trauma and surgical failures on the lacrimal passages . Trans Am Acad Ophthalmol Otol 1962;66:506-524. 2. Del Castillo JM: On the gravity as one of the impelling forces of lacrimal flow , in Yamaguchi M (ed): Recent Advances on the Lacrimal System: Proceedings of the Third International Symposium on the Lacrimal System . Ashai, Japan 3. Ashai Evening News , 1978, p 51. 4. Hurwitz JJ, Maisey MN, Welham RAN: Quantitative lacrimal scintillography: Method and physiological application . Br J Ophthalmol 1975;59:308-312.Crossref 5. Schirmer O: Studien zur Physiologie und Pathologie der Tranenadesorderung und Tranenabfuhn . Graefes Arch Clin Exp Ophthalmol 1903; 56:196.Crossref 6. Rosengren B: Lacrimal drainage . Ophthalmologica 1972;164:409-421.Crossref 7. Milder B, Demorest BH: Dacryocystography: The normal lacrimal apparatus . Arch Ophthalmol 1954;51:180-195.Crossref 8. Pico G: Dacryocystorhinostomy . Trans Am Acad Ophthalmol Otol 1958;62:709-711. 9. Jones LT, Wobig JL: Surgery of the Eyelids and Lacrimal System. Birmingham, Ala, Aesculapius Publishing Co, 1976. 10. Rossomondo RN, Carlton WH, Trueblood JH: A new method of evaluating lacrimal drainage . Arch Ophthalmol 1972;88:523-525.Crossref 11. Hurwitz JJ, Maisey MN, Welham RAN: Quantitative lacrimal scintillography: Lacrimal pathology . Br J Ophthalmol 1975;59:313-322.Crossref 12. Chavis RM, Welham RAN, Maisey MN: Quantitative lacrimal scintillography . Arch Ophthalmol 1978;98:96-98. 13. Doucet TW, Hurwitz JJ, Chin Sang H: Lacrimal scintillography: Advances and functional applications . Surv Ophthalmol 1982;27:105-113.Crossref 14. Chenoweth DR, Hurwitz JJ: A head holder for radionuclide dacryocystography . Radiology 1976;120:730.Crossref 15. Hurwitz JJ: Investigation and treatment of epiphora due to lid laxity . Trans Ophthalmol Soc UK 1978;98:69-70. 16. Werb A: A clinical approach to lacrimal problems , in Yamaguchi M (ed): Recent Advances on the Lacrimal System: Proceedings of the Third International Symposium on the Lacrimal System. Ashai, Japan; Ashai Evening News , 1978, p 42. 17. Doucet TW, Hurwitz JJ: Canaliculodacryocystorhinostomy in the management of unsuccessful lacrimal surgery . Arch Ophthalmol 1982; 100:619-621.Crossref 18. Doucet TW, Hurwitz JJ: Canaliculodacryocystorhinostomy in the treatment of canalicular obstruction . Arch Ophthalmol 1982;100:306-309.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Nov 1, 1984

References