Rózycki Radosław, Jakubaszek Aleksandra, Maliborski Artur
Z Kliniki Okulistycznej Wojskowego Instytutu Medycznego w Warszawie.
Klin Oczna. 2009;111(10-12):319-22.
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.
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).
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.
The correct diagnosis is the condition for the proper planning of the therapy schedule. Epiphora is frequent and annoying symptom.
分析2004年至2007年在军事卫生服务研究所眼科接受检查的溢泪患者的病因。
该研究纳入了330名受试者：241名女性和89名男性（平均年龄58.85±19.93岁）。所有患者均因溢泪接受检查（包括眼睑和泪小点位置、内眦腱松弛——水平静止位置、外侧牵拉试验、荧光素染料消失试验、上下泪小管冲洗、泪囊造影和/或泪道闪烁显像）。
在我们诊所接受检查的溢泪患者占3%。溢泪持续时间平均为39.24个月。溢泪的主要原因有：原发性后天性鼻泪管阻塞、特发性后天性泪道狭窄、泪小点狭窄（22.42%、19.7%、19.09%），少见原因有：憩室、泪小点乳头状瘤、放疗后狭窄、神经纤维瘤病。
正确诊断是合理制定治疗方案的前提。溢泪是一种常见且令人烦恼的症状。
