23.7.2024
Lesezeit:
3 minutes

Lacrimal tract constriction

The narrowing of the lacrimal ducts is the most common cause of lacrimal running.

Dr. Valéry Vinzent Wittwer

The tear fluid is used to wet cornea and conjunctiva and is produced in the lacrimal gland above the eyeball. The tears flow through the lacrimal dots into the lacrimal canals and thus reach the sinuses via the lacrimal sac, where they evaporate.

1. lacrimal gland
2. Tears spread across cornea and conjunctiva
3. Tear dots
4th lacrimal canal
5th tear bag
6. exit into the nasal cavity


If the outflow is prevented by a narrowing of the tear ducts, a so-called stenosis, the tear fluid flows over the edge of the eyelid and tears run.

1. lacrimal gland
2. Tears spread across cornea and conjunctiva
3. open upper lacrimal duct
4. Stenosed or obscured lower lacrimal duct
5. Stenosed or misplaced lacrimal sac
6. exit into the nasal cavity

Depending on the cause of the constriction, various therapeutic approaches are used.

  • infections: antibiotic treatment
  • Allergy: anti-allergic treatment
  • Inflammation: anti-inflammatory treatment
  • Other cause (e.g. deposits): lacrimal endoscopy followed by intubation of the lacrimal ducts (insertion of a silicone tube) or dacryocystorhinostomy (DCR) as the last possible route

It is not uncommon for the cause of increased lacrimation not to the lacrimal ducts themselves but to excessive production of tears due to surface problems. This can be determined with a simple test. A dye (fluorescein) is added to the conjunctival sac and then protected, if the secretion from the nose is yellowish in color, the lacrimal ducts are continuous and the Lidrandplfege moves to the forefront of treatment.

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