Lacrimal disorders treatment
Lacrimal disorders are a group of ophthalmic conditions with disrupted tear production. Such issues often lead to eye discomfort affecting either one eye or both. Disorders of the lacrimal system in the majority are easily cured. Doctors use eye drops (moisturizers, antibiotics) and sometimes eye microsurgery.
A tear film must always moisten the eyes to see well. When the production of lacrimal fluid is impaired, ophthalmologists talk about lacrimal disorders. They occur when one or more components of the lacrimal system fail due to congenital malformation of the gland, complications after inflammatory diseases, eye injuries, foreign bodies (eyelashes, worms, dust) and others.
Eye doctors define the following kinds of lacrimal conditions:
- Dry eye is the most common problem, characterized by excessive dryness of the eyes due to impaired tear production.
- A wet eye occurs when there is a blockage in the lacrimal system. This condition is characterized by an overflow of tears (epiphora), like weeping.
- Bacterial conjunctivitis (so-called pink eye) is an inflammation of the lining of the eyes due to bacteria.
- A chalazion is a complicated round cyst or lump inside the eyelid. It appears due to inflammation or blockage of the gland.
- Lacrimal passages stenosis occurs when the tear duct does not form properly in children. In adults, the reasons are tumours, cysts, scars, viruses and eversion of the lacrimal punctum.
The most common symptoms of lacrimal lesions include:
- Burning or itching in the eyes;
- Swelling and soreness;
- Redness of the eyes;
The ophthalmologist injects a contrast agent into the lacrimal canal to make a correct diagnosis. By the nature of its release, it is determined whether there is damage to the lacrimal organs or not. If you suspect a tumour, the doctor prescribes imaging scans.
Treatment of lacrimal disorders depends on the type of condition:
- Dry eye - is treated with artificial tears. These are special drops that moisturize the eyes. A new method is soft contact lenses combined with artificial tears.
- Treatment for a wet eye starts with antibiotics. Later, ophthalmologists perform surgical correction of the blocked duct.
- Bacterial conjunctivitis or pink eye is treated with antibiotics (drops or tablets).
- The chalazion often disappears on its own. If this does not happen, eye doctors recommend special drops and hot compresses. In some cases, a mini-surgery is performed to remove the chalazion.
The prognosis for lacrimal system illnesses is generally favourable. Many diseases are easily curable. A less good prognosis is blockage of the lacrimal duct due to a tumour. Depending on the malignancy of the formation, the survival rate averages 62%.
Where can I get Lacrimal disorders treatment?
What are the best clinics for Lacrimal disorders treatment?
Who are the best doctors for Lacrimal disorders?
Prof. Dr. med. Mathias Maier from University Hospital rechts der Isar Munich
Dr. med. Detlef Deiermann from Academic Hospital Bundeswehr Berlin
Prof. Dr. med. Thomas Kohnen from University Hospital Frankfurt am Main of Goethe-University
Prof. Dr. med. Siegfried Priglinger from University Hospital Ludwig-Maximilians Munich
PD. Dr. med. Ira Seibel from Helios Hospital Berlin-Buch