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Epiphora

Symptom altersbedingter Veränderungen der okulären Oberfläche, Lidfunktion und ableitenden Tränenwege

Epiphora

Age-related changes of the ocular surface, eyelid function and the efferent tear ducts

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Zusammenfassung

Die symptomatische Epiphora ist ganz überwiegend ein Beschwerdebild des höheren Lebensalters. Sie entsteht entweder durch (meist reflektorische) Hypersekretion bei Störungen der okulären Oberfläche, durch mangelnden Tränentransport oder durch mechanischen Verschluss der Tränenwege. Diese drei unterschiedlichen Ursachen sind differenzialdiagnostisch abzugrenzen und führen zu unterschiedlicher Therapie. Störungen der okulären Oberfläche (trockenes tränendes Auge) werden medikamentös, Lidfehlfunktionen sowie Dakryostenosen durch chirurgische Maßnahmen therapiert, begleitet von antienzündlicher topischer Medikation. Die vorliegende kurze Übersicht fasst die aktuellen Erkenntnisse unter dem Aspekt der Epiphora als altersassoziiertem Symptom und zur Epidemiologie und Pathogenese von Dakryostenosen und Dakryolithen zusammen.

Abstract

Symptomatic epiphora is predominantly present in the elderly It is caused either by hypersecretion in ocular surface disorders, mostly as a reflex, by decreased tear transport and mechanical stenosis of the efferent tear ducts. These three different causes have to be taken into consideration by differential diagnosis and lead to different forms of therapy. Ocular surface disorders (wet dry eye) are treated by topical medication, lid malfunctioning and dacryostenosis by surgery and possibly by topical adjuvant anti-inflammatory medication. The present article reviews the current concepts on epiphora as an age-associated symptom and the epidemiology and pathogenesis of dacryostenosis and dacryolithiasis.

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Authors and Affiliations

  1. Augenklinik, Asklepios Klinikum Barmbek, Rübenkamp 220, 22291, Hamburg, Deutschland

    U. Schaudig

  2. Augenklinik, St. Josefs-Hospital, Hagen, Deutschland

    H. Meyer-Rüsenberg

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  1. U. Schaudig
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  2. H. Meyer-Rüsenberg
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Correspondence to U. Schaudig.

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Schaudig, U., Meyer-Rüsenberg, H. Epiphora. Ophthalmologe 106, 229–234 (2009). https://doi.org/10.1007/s00347-008-1907-8

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  • DOI: https://doi.org/10.1007/s00347-008-1907-8

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