Department of Otolaryngology-Head and Neck Surgery, Cumberland Infirmary, Carlisle, UK.
Clin Otolaryngol. 2010 Jun;35(3):210-4. doi: 10.1111/j.1749-4486.2010.02138.x.
Epiphora is the presence of a watering eye which may be due to reflex tearing or defective drainage of tears. Whilst most cases present to the ophthalmologist the otolaryngologist has a key role to play in both assessment and management of these patients.
This review was based on a literature search last performed on 21st October 2009. MEDLINE and Cochrane databases were searched using the subject headings 'epiphora' or 'functional epiphora' in combination with diagnosis, investigation, management, treatment, intervention and surgery. Results were limited to English language articles. The personal biographies of the senior authors were also used.
An accurate assessment of the site and degree of obstruction is important to ensure the correct management is undertaken. Medical treatment with nasal steroid spray may be effective but the majority of obstructed cases will require surgical intervention in the form of dacryocystorhinostomy (DCR). There is increasing evidence that powered endoscopic DCR has outcomes comparable with the 'gold standard' procedure of external DCR.
溢泪是指眼睛流泪，可能是由于反射性流泪或泪液排出不良所致。虽然大多数病例会就诊于眼科医生，但耳鼻喉科医生在这些患者的评估和管理中也起着关键作用。
本次综述基于 2009 年 10 月 21 日进行的文献检索。使用主题词“溢泪”或“功能性溢泪”，结合诊断、检查、治疗、干预和手术，在 MEDLINE 和 Cochrane 数据库中进行检索。结果仅限于英文文章。还查阅了资深作者的个人传记。
准确评估阻塞部位和程度对于确保正确的治疗至关重要。鼻内类固醇喷雾的药物治疗可能有效，但大多数阻塞性病例需要通过泪囊鼻腔吻合术（DCR）进行手术干预。越来越多的证据表明，动力内镜 DCR 的效果与外部 DCR 的“金标准”手术相当。
