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Pediatric Ophthalmology

Pediatric Lacrimal Disorders

Rudolph S. Wagner, MD

Click on each slide to view a larger image.

Slide 1 Slide 1. The anatomy of the lacrimal drainage system. (Reprinted with permission from Putterman AM. Basic oculoplastic surgery. In: Peyman GA, Sanders DR, Goldberg MF, eds. Principles and Practice of Ophthalmology. Philadelphia, Pa: WB Saunders; 1980:2273.)
Slide 2 Slide 2. A probe extending from lacrimal sac fistula.
Slide 3 Slide 3. Nasolacrimal duct obstruction of the left eye. Note that the lashes are matted together by accumulated mucus.
Slide 4 Slide 4. A Crawford silicone tube in place.
Slide 5 Slide 5. A congenital lacrimal sac mucocele with distended mass displacing medial left lower lid superiorly.
Slide 6 Slide 6. A computed tomography scan with contrast showing bilateral extensions of lacrimal sac mucoceles into nasal cavities.
Slide 7 Slide 7. The endoscopic view of nasolacrimal duct cyst beneath left inferior turbinate.
Slide 8 Slide 8. The endoscopic view of tip of probe protruding from inferior meatus surrounded by deflated cyst.

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