Lacrimal Apparatus Injury

  • Hai Tao
  • Xibin Zhou
  • Yueyue Li
Part of the Ocular Trauma book series (OCTRA)


Lacrimal apparatus injuries include lacrimal gland injuries and lacrimal duct injuries. The lacrimal gland is located in superior-temporal orbital region, is fixed in the hard orbital rim, and is not easy to be damaged; otherwise, the canaliculus, which is one part of the lacrimal duct, is the right part that its injury is one of the most common types of ocular trauma in clinic. This chapter includes six cases with brief descriptions, illustrating figures and personal tips and pearls, aiming to provide a guide about diagnosis and management of lacrimal apparatus injury.


Lacrimal gland injury Lacrimal duct injury Canalicular laceration Diagnosis and management 


  1. 1.
    Ittyerah T. Ophthalmic plastic & reconstructive surgery. Indian J Ophthalmol. 1988;36(1):48.Google Scholar
  2. 2.
    Demir C, et al. Lacrimal gland fistula following severe head trauma. Case Rep Med. 2015;2015.Google Scholar
  3. 3.
    Putterman AM. Eyelid epiphora secondary to lacrimal gland fistula. Ophthalmic Surg. 1980;11(10):682–5.PubMedGoogle Scholar
  4. 4.
    Cogen MS, Lewis AR, Kelly AG. Anomalous lacrimal ductule: case report and review. J Pediatr Ophthalmol Strabismus. 1994;31(5):327.PubMedGoogle Scholar
  5. 5.
    López MD, et al. Traumatic perforation of the lacrimal gland with external fistula and lacrimal hypersecretion. Arch Soc Esp Oftalmol. 2001;76(1):53.Google Scholar
  6. 6.
    Kashkouli MB, Heirati A, Pakdel F. Lacrimal gland fistula after upper eyelid blepharoplasty. Middle East Afr J Ophthalmol. 2011;18(4):326.CrossRefGoogle Scholar
  7. 7.
    Ahn YJ, et al. Lacrimal gland fistula after cosmetic lateral canthoplasty. J Craniofac Surg. 2013;24(4):1317–8.CrossRefGoogle Scholar
  8. 8.
    Beyer-Machule CK, et al. Accessory lacrimal gland fistula secondary to ptosis surgery. Ophthalmic Surg. 1983;14(9):770–2.PubMedGoogle Scholar
  9. 9.
    Leelapatranurak K, et al. Lacrimal ductule fistula: a new complication of cosmetic lateral canthoplasty. Aesthet Plast Surg. 2013;37(5):892–5.CrossRefGoogle Scholar
  10. 10.
    Tao H, et al. Clinical study on “one-stitch anastomosis through the skin” repair of canalicular laceration. Int J Ophthalmol. 2007;7(5):1247–9.Google Scholar
  11. 11.
    Tao H, Bai F. Advances in lacrimal apparatus disease diagnosis and treatment. Beijing: People’s Health Publishing House; 2015. p. 73–4.Google Scholar
  12. 12.
    Kersten RC, Kulwin DR. “One-stitch” canalicular repair. A simplified approach for repair of canalicular laceration. Ophthalmology. 1996;103(5):785–9.CrossRefGoogle Scholar
  13. 13.
    Tao H, et al. One-stitch anastomosis through the skin with bicanalicular intubation: a modified approach for repair of bicanalicular laceration. Int J Ophthalmol. 2013;6(5):656.PubMedPubMedCentralGoogle Scholar
  14. 14.
    Maimaris C, Quinton DN. Dog-bite lacerations: a controlled trial of primary wound closure. Arch Emerg Med. 1988;5(3):156–61.CrossRefGoogle Scholar
  15. 15.
    Tao H, et al. Diagnosis of lacrimal canalicular diseases using ultrasound biomicroscopy: a preliminary study. Int J Ophthalmol. 2014;7(4):659–62.PubMedPubMedCentralGoogle Scholar
  16. 16.
    Wang T, et al. Preliminary study on CT retrograde intubation dacryocystography (CT-RIDC) and its impact factors. Zhonghua Yan Ke Za Zhi. 2014;50(10):766–71.PubMedGoogle Scholar
  17. 17.
    Dirim B, et al. Comparison of modifications in flap anastomosis patterns and skin incision types for external dacryocystorhinostomy: anterior-only flap anastomosis with W skin incision versus anterior and posterior flap anastomosis with linear skin incision. ScientificWorldJournal. 2015;2015:170841.CrossRefGoogle Scholar
  18. 18.
    Kaçaniku G, Begolli I. External dacryocystorhinostomy with and without suturing the posterior mucosal flaps. Med Arch. 2014;68(1):54–6.CrossRefGoogle Scholar
  19. 19.
    Haefliger IO, Tschopp M, Pimentel AR. Mucosal excision instead of fashioning nasolacrimal mucosae flaps during external dacryocystorhinostomy: a pilot study. Klin Monatsbl Augenheilkd. 2012;229(4):387.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Hai Tao
    • 1
  • Xibin Zhou
    • 1
  • Yueyue Li
    • 1
  1. 1.Lacrimal Apparatus Center of OphthalmologyInstitute of Ophthalmology and Orbital Diseases, Armed Police General Hospital of ChinaBeijingChina

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