Hyperlacrimation
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Hyperlacrimation
Epiphora is an overflow of tears onto the face, other than caused by normal crying. It is a clinical sign or condition that constitutes insufficient tear film drainage from the eyes, in that tears will drain down the face rather than through the nasolacrimal system. Cause Causes of epiphora are any that cause either overproduction of tears or decreased drainage of tears, resulting in tearing onto the cheek. This can be due to ocular irritation and inflammation (including trichiasis and entropion) or an obstructed tear outflow tract which is divided according to its anatomical location (i.e. ectropion, punctal, canalicular or nasolacrimal duct obstruction). The latter is often due to aging (a spontaneous process), conjunctivochalasis, infection (i.e. dacryocystitis), rhinitis, and in neonates or infants, failure of the nasolacrimal duct to open. Another cause could be poor reconstruction of the nasolacrimal duct system after trauma to the area. Cause of trauma could be facial f ...
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Ophthalmology
Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a medical degree, a doctor specialising in ophthalmology must pursue additional postgraduate residency training specific to that field. This may include a one-year integrated internship that involves more general medical training in other fields such as internal medicine or general surgery. Following residency, additional specialty training (or fellowship) may be sought in a particular aspect of eye pathology. Ophthalmologists prescribe medications to treat eye diseases, implement laser therapy, and perform surgery when needed. Ophthalmologists provide both primary and specialty eye care - medical and surgical. Most ophthalmologists participate in academic research on eye diseases at some point in their training and many include research as par ...
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Rhinitis
Rhinitis, also known as coryza, is irritation and inflammation of the mucous membrane inside the nose. Common symptoms are a stuffy nose, runny nose, sneezing, and post-nasal drip. The inflammation is caused by viruses, bacteria, irritants or allergens. The most common kind of rhinitis is allergic rhinitis, which is usually triggered by airborne allergens such as pollen and dander. Allergic rhinitis may cause additional symptoms, such as sneezing and nasal itching, coughing, headache, fatigue, malaise, and cognitive impairment. The allergens may also affect the eyes, causing watery, reddened, or itchy eyes and puffiness around the eyes. The inflammation results in the generation of large amounts of mucus, commonly producing a runny nose, as well as a stuffy nose and post-nasal drip. In the case of allergic rhinitis, the inflammation is caused by the degranulation of mast cells in the nose. When mast cells degranulate, they release histamine and other chemicals, s ...
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Lacrimal Apparatus
The lacrimal apparatus is the physiological system containing the orbital structures for tear production and drainage.Cassin, B. and Solomon, S. ''Dictionary of Eye Terminology''. Gainesville, Florida: Triad Publishing Company, 1990. It consists of: * The lacrimal gland, which secretes the tears, and its excretory ducts, which convey the fluid to the surface of the human eye; it is a j-shaped serous gland located in lacrimal fossa. * The lacrimal canaliculi, the lacrimal sac, and the nasolacrimal duct, by which the fluid is conveyed into the cavity of the nose, emptying anterioinferiorly to the inferior nasal conchae from the nasolacrimal duct; * The innervation of the lacrimal apparatus involves both the a sympathetic supply through the carotid plexus of nerves around the internal carotid artery, and parasympathetically from the lacrimal nucleus of the facial nerve. The blood supply to the lacrimal gland is provided by the ophthalmic artery with its branch - the lacrimal a ...
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Dacryoscintigraphy
Dacryoscintigraphy (DSG), also known as lacrimal scintigraphy, is a nuclear medicine technique for imaging the lacrimal apparatus. It is used to identify obstructions, for example in the lacrimal duct, nasal cavity or nasolacrimal duct. Procedure The typical procedure involves use of Technetium-99m colloid, or in some cases pertechnetate. The colloid is prepared with an activity of approximately 20 megabecquerels in 1 millilitre (ml). Patients place their head in a support and chin rest and a single drop of 0.01 ml is delivered to each eye. Imaging with a gamma camera commences immediately, with a number of images acquired over 15 minutes. Clinical applications Typical indications include epiphora and dacryocystitis. DSG allows quantification of tear turnover and drainage. Various quantification models have been developed, which must account for the variable drainage of asymptomatic systems. Some drugs administered to the eye via eye drops, such as beta blockers for glaucom ...
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Fluorescein
Fluorescein is an organic compound and dye based on the xanthene tricyclic structural motif, formally belonging to triarylmethine dyes family. It is available as a dark orange/red powder slightly soluble in water and alcohol. It is widely used as a fluorescent tracer for many applications. The color of its aqueous solutions is green by reflection and orange by transmission (its spectral properties are dependent on pH of the solution), as can be noticed in bubble levels, for example, in which fluorescein is added as a colorant to the alcohol filling the tube in order to increase the visibility of the air bubble contained within (thus enhancing the precision of the instrument). More concentrated solutions of fluorescein can even appear red (because under these conditions nearly all incident emission is re-absorbed by the solution). It is on the World Health Organization's List of Essential Medicines. Uses Fluorescein sodium, the sodium salt of fluorescein, is used extensivel ...
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Dry Eye
Dry or dryness most often refers to: * Lack of rainfall, which may refer to **Arid regions **Drought * Dry or dry area, relating to legal prohibition of selling, serving, or imbibing alcoholic beverages * Dry humor, deadpan * Dryness (medical) * Dryness (taste), the lack of sugar in a drink, especially an alcoholic one * Dry direct sound without reverberation Dry or DRY may also refer to: Places * Dry Brook (other), various rivers * Dry Creek (other), various rivers and towns * Dry, Loiret, a commune of the Loiret ''département'' in France * Dry River (other), various rivers and towns Art, entertainment, and media Film * ''Dry'' (2014 film), a Nigerian film directed by Stephanie Linus * ''Dry'' (2022 film), an Italian film directed by Paolo Virzì * ''The Dry'' (film), a 2020 film based on the novel by Jane Harper Literature * ''Dry'' (memoir), a 2003 memoir by Augusten Burroughs * ''The Dry'' (novel), a 2016 novel by Jane Harper Music * ...
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Le Fort Fracture Of Skull
A Le Fort fracture of the skull is a classic transfacial bone fracture, fracture of the midface, involving the maxillary bone and surrounding structures in either a horizontal, pyramidal or transverse direction. The hallmark of Lefort fractures is traumatic ''pterygomaxillary separation'', which signifies fractures between the Pterygoid processes of the sphenoid, pterygoid plates, horseshoe-shaped bony protuberances which extend from the inferior margin of the maxilla, and the maxillary sinuses. Continuity of this structure is a keystone (architecture), keystone for stability of the midface, involvement of which impacts surgical management of trauma victims, as it requires fixation to a horizontal bar of the frontal bone. The pterygoid plates lie posterior to the upper dental row, or alveolar ridge, when viewing the face from an anterior view. The fractures are named after French surgeon René Le Fort (1869–1951), who discovered the fracture patterns by examining crush injuries in ...
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Dacryocystitis
Dacryocystitis is an infection of the lacrimal sac, secondary to obstruction of the nasolacrimal duct at the junction of lacrimal sac. The term derives from the Greek ''dákryon'' ( tear), ''cysta'' (sac), and ''-itis'' (inflammation). It causes pain, redness, and swelling over the inner aspect of the lower eyelid and epiphora. When nasolacrimal duct obstruction is secondary to a congenital barrier it is referred to as dacryocystocele. It is most commonly caused by '' Staphylococcus aureus'' and ''Streptococcus pneumoniae''. The most common complication is corneal ulceration, frequently in association with ''S. pneumoniae''. The mainstays of treatment are oral antibiotics, warm compresses, and relief of nasolacrimal duct obstruction by dacryocystorhinostomy. Signs and symptoms *Pain, swelling, redness over the lacrimal sac at medial canthus *Tearing, crusting, fever *Digital pressure over the lacrimal sac may extrude pus through the punctum *In chronic cases, tearing may be th ...
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Crying
Crying is the dropping of tears (or welling of tears in the eyes) in response to an emotional state, or pain. Emotions that can lead to crying include sadness, anger, and even happiness. The act of crying has been defined as "a complex secretomotor phenomenon characterized by the shedding of tears from the lacrimal apparatus, without any irritation of the ocular structures", instead, giving a relief which protects from conjunctivitis. A related medical term is lacrimation, which also refers to non-emotional shedding of tears. Various forms of crying are known as ''sobbing'', ''weeping'', ''wailing'', ''whimpering'', ''bawling'', and ''blubbering''. For crying to be described as sobbing, it usually has to be accompanied by a set of other symptoms, such as slow but erratic inhalation, occasional instances of breath holding and muscular tremor. A neuronal connection between the lacrimal gland and the areas of the human brain involved with emotion has been established. Te ...
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Conjunctivochalasis
Conjunctivochalasis, also known aMechanical Dry Eye (MDE) is a common eye surface condition characterized by the presence of excess folds of the conjunctiva located between the globe of the eye and the eyelid margin. Symptoms Symptoms range from Keratoconjunctivitis sicca, dry eye, Epiphora (medicine), epiphora and irritation to localized pain, foreign body sensation, subconjunctival hemorrhage and Corneal ulcer, ulceration. Symptoms are often made worse by vigorous blinking. Causes Most Conjunctivochalasis is thought to be caused by both a gradual thinning and stretching of the conjunctiva that accompanies age and a loss of adhesion between the conjunctiva and underlying sclera as the result of dissolution of Tenon's capsule. The resulting loose, excess conjunctiva may mechanically irritate the eye and disrupt the tear film and its outflow, leading to dry eye and excess tearing. A correlation may also exist between inflammation in the eye and conjunctivochalasis, though it is u ...
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Nasolacrimal Duct Obstruction
Nasolacrimal duct obstruction is the obstruction of the nasolacrimal duct and may be either congenital or acquired. Obstruction of the nasolacrimal duct leads to the excess overflow of tears called epiphora. Sign and symptoms Excessive tearing is the most common complaint of patients with nasolacrimal duct obstruction, followed by acute or chronic infections. Pain at the side of the nose suggests dacryocystitis. Nasolacrimal duct obstruction is more common with increasing age and more common in females than males. Cause Involutional stenosis Involutional stenosis is probably the most common cause of nasolacrimal duct obstruction in older people. It affects women twice as frequently as men. Although the inciting event in this process is unknown, clinicopathologic study suggests that compression of the lumen of the nasolacrimal duct is caused by inflammatory infiltrates and edema. This may be the result of an unidentified infection or possibly an autoimmune disease ...
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