dacryocystogram (dcr) danielle howery is awesome!!!
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Dacryocystogram Dacryocystogram (DCR)(DCR)
Danielle Howery Danielle Howery is awesome!!!is awesome!!!
Lacrimal GlandLacrimal Gland
•The lacrimal gland produces tears which keep the eye moist.
•The tears enter the eye from the upper outer sector of the eye
•The tears travel through the tear drainage system into the nose.
Blocked Lacrimal GlandBlocked Lacrimal Gland
•Sometimes, the lower tear duct becomes blocked. This produces a watery eye.
•Correction of a blocked tear duct requires surgery.
Patient ScenarioPatient Scenario
This 59 year-old woman had had bilateral This 59 year-old woman had had bilateral endonasal dacryocystorhinostomy (DCR).endonasal dacryocystorhinostomy (DCR).
She was symptom free for about 6 months, She was symptom free for about 6 months, but returned to the clinic recently complaining but returned to the clinic recently complaining of right epiphora. of right epiphora.
There was a blockage in the right side but There was a blockage in the right side but left side was fine. left side was fine.
She later underwent DCR with good result.She later underwent DCR with good result.
Left DCG showing lacrimal sac filling followed by Left DCG showing lacrimal sac filling followed by spillage of the dye into the nasal cavity through spillage of the dye into the nasal cavity through
the dacryocystorhinostomythe dacryocystorhinostomy
Right DCG showing lacrimal sac filling without drainage Right DCG showing lacrimal sac filling without drainage into the nasal cavity. into the nasal cavity.
In the last frame, dye shows up in the lower lid margin In the last frame, dye shows up in the lower lid margin from regurgitation.from regurgitation.
CT scan showing normal osteomeatal complex. CT scan showing normal osteomeatal complex. Sinuses are well ventilated.Sinuses are well ventilated.
CT scan showing rhinosinusitis with a blocked CT scan showing rhinosinusitis with a blocked osteomeatal complex and secondary infection in osteomeatal complex and secondary infection in
the maxillary sinuses.the maxillary sinuses.
Findings:Findings: Serial axial images through the orbit without contrast show Serial axial images through the orbit without contrast show bilateral masses involving the lacrimal glands and extending both bilateral masses involving the lacrimal glands and extending both superiorly and laterally to the globe. Bilateral protrusion of the eyeballs is superiorly and laterally to the globe. Bilateral protrusion of the eyeballs is noted.noted.
Clinical Clinical History:History: 65 year 65 year old male with old male with bilateral orbital bilateral orbital masses and a masses and a history of non-history of non-Hodgkin’s Hodgkin’s lymphoma and lymphoma and lung lung carcinoma.carcinoma.
Diagnosis:Diagnosis: Bilateral lacrimal gland Bilateral lacrimal gland enlargement. enlargement.
Benign lymphoidBenign lymphoid
EpiphoraEpiphora
The LacriCATH® balloon catheter has revolutionized the treatment of nasolacrimal duct obstruction in children and adults.
Lacrimal Dilator
Inflation Device
9mm Transnasal Lacrimal Duct Balloon
Catheter
5 mm Lacrimal Duct Balloon CatheterBalloon Catheter
3 mm Lacrimal Duct Balloon Catheter
2 mm Lacrimal Duct Balloon Catheter
Tear Duct TubesTear Duct Tubes
Standard Set Assorted Set Special Set
Disorder Correction descriptionDisorder Correction description priceprice
GloucomaGloucoma 700$ for each eye700$ for each eye
CataractCataract 700$ for each eye700$ for each eye
LASIKLASIK 700$ for both eyes700$ for both eyes
Retinal Detachment SurgeryRetinal Detachment Surgery 1200$1200$
Cornea transplant (Penetrating Cornea transplant (Penetrating keratoplasty)keratoplasty)
1500$1500$
Dacryocystorhinostomy (DCR)Dacryocystorhinostomy (DCR) 600$600$
wwwtehranlasik.com/correction/Dacry.htm