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1

Swampillai, Andrew J., and Tristan F. McMullan. "Epiphora." British Journal of Hospital Medicine 73, Sup11 (2012): C162—C165. http://dx.doi.org/10.12968/hmed.2012.73.sup11.c162.

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Cottrell, Tara. "Epiphora." Missouri Review 27, no. 2 (2004): 176–90. http://dx.doi.org/10.1353/mis.2004.0042.

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3

Schaudig, U., and H. Meyer-Rüsenberg. "Epiphora." Der Ophthalmologe 106, no. 3 (2009): 229–34. http://dx.doi.org/10.1007/s00347-008-1907-8.

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4

Rana, Aakankshya, Purnima Rajkarnikar Sthapit, Ben Limbu, Malita Amatya, and Rohit Saiju. "Comparison of external dacryocystorhinostomy versus injection botulinum toxin in the management of functional epiphora." IP International Journal of Ocular Oncology and Oculoplasty 7, no. 3 (2021): 236–42. http://dx.doi.org/10.18231/j.ijooo.2021.050.

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To compare the efficacy of external dacryocystorhinostomy (DCR) and botulinum toxin-A in the management of functional epiphora.A prospective, comparative, interventional study included 45 patients with functional epiphora out of which 20 patients had undergone external dacryocystorhinostomy and 25 patients received 5 units of injection botulinum toxin in the palpebral lobe of lacrimal gland as per the patient’s preference. All patients underwent syringing and fluorescein dye disappearance testing before the procedure. Epiphora was graded subjectively with Munk scores obtained before and after
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Haefliger, Ivan O., Yasmina D. Haefliger, and Ana Rosa Pimentel de Figueiredo. "A PubMed Citations Search Study on the Prevalence of Epiphora in the General Adult Population." Klinische Monatsblätter für Augenheilkunde 237, no. 04 (2020): 527–30. http://dx.doi.org/10.1055/a-1112-7335.

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Abstract Purpose To assess the prevalence of epiphora in the general adult population based on PubMed search citations. Methods 1) Electronic PubMed MEDLINE database search (September 13, 2019) with the terms (Medical Subject Headings or MeSH) “prevalence” and “epiphora”, 2) “epiphora” and “dry eye”, and 3) “prevalence”, “epiphora”, and “dry eye”. Review of all citations from these searches containing the term “epiphora” either in their abstract or title. Results 1) PubMed search retrieved 2 617 137 citations for “prevalence”, 26 135 for “epiphora”, and 2554 for “prevalence” AND “epiphora”. Wi
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Tirakunwichcha, Suppapong, Ehwika Rengwanidchakul, Somkiat Asawaphureekorn, et al. "Incidence of acquired lacrimal drainage system obstruction in epiphoric patients in Thailand." Asian Biomedicine 4, no. 1 (2010): 159–62. http://dx.doi.org/10.2478/abm-2010-0019.

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Abstract Background: There were few reports regarding the incidence of the acquired nasolacrimal duct obstruction, and the incidence in different geography or countries might be alike. Since the nasolacrimal drainage system obstruction is a common problem in Thailand, knowledge of the incidence may disclose the burden of the disease that has never been reported. Objectives: Evaluate the incidence of acquired lacrimal drainage system obstruction (ALDO) in Thailand. Methods: This study was conducted in multi-centers. It was based on prospective and descriptive design. All patients with epiphoric
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Amin, S. R., V. Valero, E. Rivera, et al. "Prospective study of incidence and severity of epiphora and canalicular stenosis in patients with metastatic breast cancer receiving docetaxel." Journal of Clinical Oncology 24, no. 18_suppl (2006): 659. http://dx.doi.org/10.1200/jco.2006.24.18_suppl.659.

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659 Background: To determine the incidence and severity of epiphora and canalicular stenosis in patients receiving weekly or every-3-weekly docetaxel. Methods: In this prospective trial, each patient underwent an ophthalmologic examination and probing and irrigation of the lacrimal drainage apparatus at baseline and at every 4–6 weeks after initiation of docetaxel. During each visit, epiphora and canalicular stenosis were graded. Patients with epiphora were treated with Tobradex drops. If epiphora worsened or findings on probing and irrigation suggested further canalicular narrowing, silicone
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8

Esmaeli, Bita, Sapna Amin, Vicente Valero, et al. "Prospective Study of Incidence and Severity of Epiphora and Canalicular Stenosis in Patients With Metastatic Breast Cancer Receiving Docetaxel." Journal of Clinical Oncology 24, no. 22 (2006): 3619–22. http://dx.doi.org/10.1200/jco.2005.04.4453.

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Purpose To determine the incidence and severity of epiphora and canalicular stenosis in patients receiving docetaxel weekly or every 3 weeks. Patients and Methods In this prospective trial, each patient underwent an ophthalmologic examination and probing and irrigation of the lacrimal drainage apparatus at baseline and every 4 to 6 weeks after initiation of docetaxel. During each visit, epiphora and canalicular stenosis were graded. Patients with epiphora were treated with tobramycin and dexamethasone drops. If epiphora worsened or if findings on probing and irrigation suggested further canali
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9

Erna, Riani, Dita Mintardi, Nur Qodir, and Erial Bahar. "Correlation of docetaxel administration duration, dosage, and patient age with epiphora severity: a retrospective observational study in breast cancer patients." Jurnal Konseling dan Pendidikan 13, no. 2 (2025): 209–16. https://doi.org/10.29210/1145600.

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Epiphora, or excessive tearing, is a frequent yet under-recognised adverse effect of docetaxel, a taxane-based chemotherapeutic agent used in breast cancer treatment. Inflammatory and fibrotic changes within the lacrimal drainage system are hypothesised as the primary mechanisms. This study aimed to evaluate the correlation between docetaxel administration duration and epiphora severity, alongside the impact of cumulative dosage and patient age. A retrospective observational study was conducted at Mohammad Hoesin Hospital Palembang, involving 25 breast cancer patients who reported epiphora dur
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10

Kintzel, Polly E., Laura B. Michaud, and Marianne K. Lange. "Docetaxel-Associated Epiphora." Pharmacotherapy 26, no. 6 (2006): 853–67. http://dx.doi.org/10.1592/phco.26.6.853.

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11

Han, Xue-Mei, Wen-Can Wu, and Bo Yu. "Effect of intubation in patients with functional epiphora after endoscopic dacryocystorhinostomy." International Journal of Ophthalmology 16, no. 7 (2023): 1060–64. http://dx.doi.org/10.18240/ijo.2023.07.09.

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AIM: To investigate the effect of bicanalicular silicone tube intubation (BSTI) in the treatment of functional epiphora after endoscopic dacryocystorhinostomy (En-DCR). METHODS: Clinical data of 84 patients (95 eyes) with functional epiphora after En-DCR were retrospectively analyzed. Functional epiphora was confirmed as persistent or recurrent epiphora by fluorescein dye disappearance test (FDDT), lacrimal irrigation test, as well as endoscopic examination. Secondary BSTIs were recommended for patients with functional epiphora. These tubes were removed 1mo after surgery. Functional success an
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12

McNeill, Emma J., Haytham Kubba, Mike A. Bearn, and Andrew K. Robson. "The Management of Rhinitis in Patients with Functional Epiphora: A Randomized Controlled Crossover Trial." American Journal of Rhinology 19, no. 6 (2005): 588–90. http://dx.doi.org/10.1177/194589240501900610.

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Background Nasolacrimal duct obstruction, secondary to inflammation of the nasal mucosa, can result in epiphora. This can be treated successfully with topical corticosteroids, avoiding the need for surgery. This study tests the hypothesis that treating clinically significant rhinitis improves the symptoms of epiphora. Methods A randomized controlled crossover trial (pilot study) was performed at the Cumberland Infirmary, Carlisle. Patients were assessed in an epiphora clinic by a consultant ophthalmologist and were included in the trial if they had bilateral functional epiphora, i.e., the naso
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13

Qin, Ying-Yan, Feng-Bin Lin, Yu Jia, Jun Mao, Cong-Yao Wang, and Xuan-Wei Liang. "Risk factors for persistent epiphora following successful canalicular laceration repair." International Journal of Ophthalmology 14, no. 1 (2021): 106–11. http://dx.doi.org/10.18240/ijo.2021.01.15.

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AIM: To identify the risk factors of epiphora in patients with anatomical patency after surgical repair of canalicular laceration. METHODS: This retrospective case series included 178 cases of canalicular laceration repair from 2005 to 2012. Demographic data collected from each patient included age, sex, type of injury, distance from the distal lacerated end of the canaliculus to the punctum, the severity score for the structural abnormity of the medial canthus, the duration of stent placement, and the timing of surgery. The risk factors for epiphora were evaluated using Logistic regression mo
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14

Tos, Mirko, Viggo Balle, and Rud Andersen. "Dacryocystorhinostomy." Annals of Otology, Rhinology & Laryngology 95, no. 4 (1986): 352–55. http://dx.doi.org/10.1177/000348948609500406.

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The extranasal method of dacryocystorhinostomy, which totally incorporates the lacrimal sac into the nasal cavity, is described, and the primary and late results of this method are presented in 57 patients with chronic epiphora caused by stenosis of the nasolacrimal duct. Immediately after the operation, the results were satisfactory in all patients. At late follow-up, with a median observation period of 5 years, 80% of the patients were completely free of epiphora and 15 % had periodic epiphora, which was a considerable improvement over the preoperative condition. The described method could b
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15

Annamalai, Sivakumar, N. Ajith Kumar, M. B. Madkour, Saraswati Sivakumar, and Haytham Kubba. "An Association between Acquired Epiphora and the Signs and Symptoms of Chronic Rhinosinusitis: A Prospective Case–Control Study." American Journal of Rhinology 17, no. 2 (2003): 111–14. http://dx.doi.org/10.1177/194589240301700209.

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Background It has been suggested that chronic rhinosinusitis may lead to epiphora because of inflammatory edema at the nasal end of the nasolacrimal duct and that treatment of the underlying nasal disease may obviate the need for dacryocys-torhinostomy. The aim of this study was to establish whether or not there is an association between the signs and symptoms of chronic rhinosinusitis and a complaint of epiphora in a blinded, prospective case-control study. Methods A consecutive series of 15 adult patients presenting to the ophthalmology department with acquired epiphora were compared with 29
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16

Beldovskaya, Natalya Y., Sergey A. Karpichenko, Marina A. Shavgulidze, and Elmaz E. Farikova. "The initial experience of using the drain implant to eliminate epiphora in patients with rhinogenous pathology." Ophthalmology journal 11, no. 2 (2018): 69–73. http://dx.doi.org/10.17816/ov11269-73.

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The pathology of upper lacrimal pathways associated with cicatrical strictures and obliteration, anatomical features of this zone is an essential problem of epiphora occurrence. The diseases of nasal cavity and paranasal sinuses play a significant role in the etiopathogenesis of this kind of epiphora. The search of new methods of preventing or eliminating epiphora, also caused by rinological pathology, is reasonable.
 Aim: To estimate the efficacy of drainage implant HEALAFLOW (Aptissen, Switzerland) in patients with complains on epiphora and concomitant nasal cavity pathology.
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17

Perry, Julian D. "Dysfunctional Epiphora: A Critique of Our Current Construct of “Functional Epiphora”." American Journal of Ophthalmology 154, no. 1 (2012): 3–5. http://dx.doi.org/10.1016/j.ajo.2012.02.034.

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18

Kubba, Haytham, Andrew K. Robson, and Michael A. Bearn. "Epiphora: The Role of Rhinitis." American Journal of Rhinology 12, no. 4 (1998): 273–74. http://dx.doi.org/10.2500/105065898781389967.

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Inflammation in the nasal mucosa may lead to epiphora by causing edema around the orifice of the nasolacrimal duct. We present and discuss three cases where simple treatment of rhinitis led to the resolution of the presenting symptom of epiphora, avoiding the need for surgery. A randomized prospective trial of topical nasal corticosteroids in the management of epiphora associated with rhinitis is in progress.
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19

El-Wakil, Farah R., Sheriff Elwan, Rania G. Zaki, and Rania S. Elkitkat. "Prevalence of punctal stenosis as a cause of obstructive epiphora." Delta Journal of Ophthalmology 25, no. 1 (2024): 50–53. http://dx.doi.org/10.4103/djo.djo_55_23.

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Purpose The aim of this study was to evaluate the prevalence of punctal stenosis in the patients presenting with eye watering due to obstructive epiphora. Patients and methods This descriptive, cross-sectional, prospective study included 75 eyes of 51 patients. The enrolled patients were classified into two groups; group 1 that included patients with punctal stenosis and group 2 that enrolled patients with obstructive epiphora due to other causes. Age subgrouping was performed to determine the prevalence of punctal stenosis among various age groups. Results The mean age of the patients was 52.
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20

Chiu, Stephanie J., Zanna I. Currie, and Jennifer HY Tan. "Holding back the tears: is there a role for marsupialisation?" BMJ Open Ophthalmology 7, no. 1 (2022): e000985. http://dx.doi.org/10.1136/bmjophth-2022-000985.

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ObjectiveMedial eyelid tumours may result in the loss of the proximal lacrimal system during staged excision and delayed reconstruction, to achieve tumour margin clearance. The remnant canaliculus was marsupialised during reconstruction. The aim was to understand how many patients experienced symptomatic epiphora as a consequence of this.Methods and analysisA retrospective study including patients over a 15-year period with medial eyelid tumours, where the proximal lacrimal system was sacrificed to achieve tumour margin clearance. Included were all who had marsupialisation of the remnant dista
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21

Yi, Na Young, Shin Ae Park, Man Bok Jeong, et al. "Medial Canthoplasty for Epiphora in Dogs: A Retrospective Study of 23 Cases." Journal of the American Animal Hospital Association 42, no. 6 (2006): 435–39. http://dx.doi.org/10.5326/0420435.

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The medical records of 23 dogs that underwent medial canthoplasty for treatment of epiphora were reviewed. The most prevalent breed encountered was the shih tzu. Other affected breeds included the Pekingese, Maltese, toy poodle, and pug. All dogs had epiphora associated with medial canthal trichiasis and/or entropion. Other ocular abnormalities included conjunctivitis, keratitis, pigmentary keratitis, corneal ulceration, globe prolapse, and nasal fold trichiasis. After medial canthoplasty, the epiphora resolved in all dogs.
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Ijaz, Rasham, Amna Anam, Anam Sarwar, Irfan Qayyum Malik, Ali Hassan Iqbal, and Hafiz Abdul Rehman Waqas. "DELAYED PRESENTATION OF EPIPHORA IN PAEDIATRIC POPULATION." Pakistan Postgraduate Medical Journal 35, no. 03 (2024): 121–24. https://doi.org/10.51642/ppmj.v35i03.577.

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Objectives: To find out the different causes of delayed presentation the paediatric age groups Methods: It is Observational cross-sectional study, conducted at Ophthalmology Department, XYZ from December 2021 to May 2022. Fifty patients of either gender with congenital epiphora were enrolled in the study. Patients with other causes of increased lacrimation except nasolacrimal duct blockage were excluded. Verbal consent was taken and all the parents were interviewed. All the causes of delayed presentation were noted. Results: among 50 patients, 30 (60 %) were male and 20 (40%) were female. 15 (
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Georgiadis, Nick S., and Chryssa D. Terzidou. "Epiphora Caused by Conjunctivochalasis." Cornea 20, no. 6 (2001): 619–21. http://dx.doi.org/10.1097/00003226-200108000-00012.

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24

Narayanan, Krishnamoorthy, and Eric A. Barnes. "Epiphora with Eyelid Laxity." Orbit 24, no. 3 (2005): 201–3. http://dx.doi.org/10.1080/01676830500192126.

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25

Clarke, William N. "The child with epiphora." Paediatrics & Child Health 4, no. 5 (1999): 325–26. http://dx.doi.org/10.1093/pch/4.5.325.

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26

Glatt, Herbert J. "Epiphora Caused by Blepharoptosis." American Journal of Ophthalmology 111, no. 5 (1991): 649–50. http://dx.doi.org/10.1016/s0002-9394(14)73717-1.

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27

Marr, J. E. "Management of childhood epiphora." British Journal of Ophthalmology 89, no. 9 (2005): 1123–26. http://dx.doi.org/10.1136/bjo.2005.069286.

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28

Sadiq, S. A., and R. N. Downes. "Epiphora: A quick fix?" Eye 12, no. 3 (1998): 417–18. http://dx.doi.org/10.1038/eye.1998.98.

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29

Hornblass, Albert, Carmen Guberina, and Brian J. Herschorn. "Palpebral Dacryoadenectomy for Epiphora." Ophthalmic Plastic & Reconstructive Surgery 4, no. 4 (1988): 227–30. http://dx.doi.org/10.1097/00002341-198804040-00005.

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30

McLaughlin, C. R. "Epiphora in facial paralysis." British Journal of Plastic Surgery 46, no. 2 (1993): 143–47. http://dx.doi.org/10.1016/0007-1226(93)90146-3.

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31

Collin, Richard. "Epiphora in facial paralysis." British Journal of Plastic Surgery 46, no. 2 (1993): 149–50. http://dx.doi.org/10.1016/0007-1226(93)90148-5.

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32

Eylül Ercan, Zeynep. "Impact of Epiphora on Modified Ocular Surface Disease Index Questionnaire." Medicine & Health 15, no. 2 (2020): 236–345. http://dx.doi.org/10.17576/mh.2020.1502.21.

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Epiphora (excessive tear production) is a major ocular disturbance, especially among middle aged and older patients. It can be due to lacrimal drainage malfunction of any kind. The aim of this study was to evaluate the effects of epiphora with good passage on lacrimal irrigation on a modified Ocular Surface Disease Index (OSDI) questionnaire. A total of 101 patients (53 males/ 48 females) were included in the study. The modified OSDI questionnaire had 11 items concerning ocular symptoms that affects daily activities. The relationships between the questionnaire score for each question and the c
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Stoicescu, Elena Andreea, Marian Burcea, Raluca Claudia Iancu, et al. "Docetaxel for Breast Cancer Treatment-Side Effects on Ocular Surface, a Systematic Review." Processes 9, no. 7 (2021): 1086. http://dx.doi.org/10.3390/pr9071086.

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Docetaxel is a very effective chemotherapeutic agent for the treatment of metastatic or locally advanced breast cancer. Epiphora (hyperlacrimation) has been shown to be the most common eye condition in patients receiving docetaxel-based chemotherapy. This symptom does not decrease visual acuity, but decreases the quality of life. Daily activities (reading, working on the computer, watching TV, and so on) are affected, with patients complaining about an alteration of daily life with the appearance of this symptom. The mechanism by which epiphora occurs is considered to be the canalicular stenos
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Nuzzi, Raffaele, Federico Tridico, and Alessia Nuzzi. "Dacryocystectomy with Lacrimal Silicone Intubation in Challenging Patients Affected by Recurrent Dacryocystitis and Epiphora: Expanding Minimally Invasive Approach Indications." Open Ophthalmology Journal 14, no. 1 (2020): 25–32. http://dx.doi.org/10.2174/1874364102014010025.

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Objective: In this study, we evaluated the feasibility and safety of dacryocystectomy associated with lacrimal intubation, for the treatment of recurrent dacryocystitis and epiphora secondary to lacrimal obstruction with compromised lacrimal sac, was evaluated. Subjects and Methods: 32 patients underwent dacryocystectomy with Crawford tubes canalicular insertion, performed by a single surgeon. Post-operative visits were scheduled at 1st and 10th day, 1, 3, and 6 months. At each follow-up visit, the prevalence of epiphora and dacryocystitis was evaluated and compared with baseline data. Also, w
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35

Gadepalli, C., V. Malik, C. Inkster, and C. Lobo. "Dacryolith in an unusual case of epiphora: open or endoscopic approach?" Journal of Laryngology & Otology 125, no. 12 (2011): 1298–300. http://dx.doi.org/10.1017/s0022215111002076.

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AbstractIntroduction:Dacryoliths are concretions formed in the lacrimal sac from cellular debris and proteins, which may calcify and cause further obstruction of the nasolacrimal pathway. Dacryoliths are often underlying contributors in cases of intermittent or chronic dacryocystitis (i.e. nasolacrimal sac inflammation, characterised by epiphora, pain, erythema, sac dilation and lacrimal punctum swelling).Objective:We report an unusual case of dacryolith resulting in obstructive epiphora, managed via an endonasal endoscopic approach.Method:Case report and literature review pertaining to dacryo
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Yvon, Camille, and Raman Malhotra. "Improvement in Epiphora Using TEARS Grading Following Surgical Treatment of Meibomian Gland Inversion in Patients With Facial Nerve Palsy." Ophthalmic Plastic & Reconstructive Surgery 39, no. 6 (2023): 621–27. http://dx.doi.org/10.1097/iop.0000000000002458.

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Purpose: To assess epiphora outcomes using the TEARS grading score in patients with concomitant meibomian gland inversion (MGI) and facial nerve palsy (FNP) undergoing correction of MGI. Methods: Retrospective, 5-year, noncomparative, single-center study of patients with MGI and FNP, treated with MGI correction, under the supervision of a single surgeon. A validated “TEAR” score was used to assess changes in epiphora. Results: Ten patients with FNP, MGI, and epiphora were analyzed from a group of 160 patients with FNP who underwent MGI surgery between 2017 and 2022. The mean age at surgery was
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Pruksakorn, Vannakorn, and Sunee Chansangpetch. "Epiphora before and after upper eyelid functional blepharoplasty: A retrospective cohort study." PLOS ONE 16, no. 8 (2021): e0255988. http://dx.doi.org/10.1371/journal.pone.0255988.

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Epiphora and dermatochalasis are common presentations in the ophthalmology clinic. To evaluate the change of epiphora before and after functional blepharoplasty, this retrospective cohort study reviewed 39 medical records of epiphora patients who underwent upper blepharoplasty. Severity of epiphora using MUNK score was collected and compared between before and at 6 months after blepharoplasty. The analysis model was performed to measure tear breakup time (TBUT) and frequency of artificial tears use. Subgroups of subjects before blepharoplasty to short baseline TBUT (≤ 10 seconds) and long TBUT
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Dinesh P, Irshad E, Ramesan E C K, et al. "Diagnostic accuracy of fluorescein dye disappearance test in comparison with lacrimal syringing in evaluation of epiphora." Indian Journal of Clinical and Experimental Ophthalmology 9, no. 3 (2023): 408–12. http://dx.doi.org/10.18231/j.ijceo.2023.077.

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Epiphora is the overflow of tear in the lid margin. It can be due to hyper secretion or inadequate tear drainage. Inadequate drainage of tears may be due to mechanical or physiological causes. Physiological cause is due to lacrimal pump failure or weakness of orbicularis muscle. Mechanical causes are due to obstruction in the lacrimal passages. Evaluation of epiphora can be done by lacrimal syringing, fluoresceine dye disappearance test, Jones dye test, contrast dacryocystography, nuclear lacrimal scintigraphy, CT, MRI etc. Fluoresceine dye test is a non invasive method to study tear flow drai
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Primov, R. E., D. A. Shcherbakov, and S. R. Kuzbekov. "Diagnostic value of three-dimensional computional reconstruction of the lacrimal ducts and modeling of lacrimal drainage for patients with epiphora." POINT OF VIEW. EAST – WEST, no. 1 (May 3, 2023): 38–42. http://dx.doi.org/10.25276/2410-1257-2023-1-38-42.

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Perpose. To demonstrate diagnostic value of three-dimensional computional reconstruction of the lacrimal ducts and modeling of lacrimal drainage for patients with epiphora. Material and methods. The study involved 10 patients with epiphora, parameters of lacrimal sac and nasolacrimal canal were measured, a multislice computed tomography (MSCT), MSCT with contrast and three-dimensional modeling of the passage of tears and canaliculi tests were performed. Results. Patients with lacrimal sac dilation and a slight narrowing of the proximal part of the nasolacrimal canal have no changes according t
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Nassief, Mona, Omar Kh M. Alduwailah, and Nancy M. Lotfy. "Acquired symptomatic external punctal stenosis: A tertiary referral center study." Medical Hypothesis, Discovery & Innovation in Ophthalmology 10, no. 1 (2021): 18–23. http://dx.doi.org/10.51329/mehdiophthal1417.

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Background: To report the prevalence of acquired symptomatic external punctal stenosis (EPS) in a tertiary referral center in Kuwait, and to study the associated risk factors, etiologies, and management outcomes.
 Methods: This prospective interventional hospital-based study was performed at the Farwaniya governmental hospital in Kuwait between November 2018 and November 2019. All patients were referred to the oculoplastic clinic with symptomatic epiphora, age > 18 years, epiphora Munk score ≥ 0, tear film meniscus ≥ 2 mm, and punctum with grade ≤ 2 (smaller than normal size, but recog
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Hunt, Samantha Vicki, Christopher Brian Schulz, and Raman Malhotra. "Evaluating the Effectiveness of Lacrimal Gland Botulinum Toxin Using the TEARS Score." Ophthalmic Plastic & Reconstructive Surgery 40, no. 2 (2024): 192–97. http://dx.doi.org/10.1097/iop.0000000000002532.

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Purpose: Botulinum toxin (BoNTA) lacrimal gland injections are one treatment option for managing epiphora. Outcomes for epiphora in existing studies are subjective and lack grading. This study utilized validated grading instruments to evaluate the efficacy of BoNTA lacrimal gland injections. Methods: Prospective study evaluating the TEARS score and quality of life in patients receiving incobotulinum toxin (Xeomin) lacrimal gland injections for epiphora. Epiphora was graded using the TEARS score. Quality of life was evaluated using the watery eye quality of life score. Etiology, benefit duratio
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Tai, Evelyn Li Min, Yee Cheng Kueh, Baharudin Abdullah, and Bernard Chang. "Interventions in functional epiphora–a systematic review." International Journal of Ophthalmology 18, no. 5 (2025): 937–50. https://doi.org/10.18240/ijo.2025.05.21.

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AIM: To review the success rates and complications of interventions for functional epiphora in adults. METHODS: A systematic review of English-language articles from the electronic databases PubMed, SCOPUS, and Google Scholar. The primary outcome was subjective resolution or improvement of epiphora symptoms. Secondary outcomes were treatment-related adverse events. Subjects above 18 years of age who underwent surgical or non-surgical treatment for functional epiphora (exhibited symptoms of epiphora with a patent lacrimal system) were included. Articles were excluded if they were 1) case report
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43

Pace, Gian Marco, Francesco Giombi, Giovanna Muci, et al. "Outcomes of Endoscopic Endonasal Dacryocystorhinostomy in Glaucoma Patients." Journal of Personalized Medicine 14, no. 4 (2024): 348. http://dx.doi.org/10.3390/jpm14040348.

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Background: Anti-glaucoma eye drops have been investigated due to their production of fibrotic changes on the conjunctival surface, undermining the functioning of the upper lacrimal drainage system. We aimed to assess whether these effects may impair the effectiveness of endoscopic endonasal dacryocystorhinostomy (EE-DCR). Methods: This is a single-center observational retrospective study on EE-DCR via a posterior approach. Resolution of epiphora and dacryocystitis were analyzed after 1 (T1) and 6-months (T2) from surgery. Surgical success was defined as anatomical (patency at irrigation, no r
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44

anay, Derya. "Punctoplasty Surgery Combined with 22-Gauge Intracath Intubation in Punctal Stenosis: A Practical, Cost-Effective, and Efficient Method." Annals of Medical Research 32, no. 4 (2025): 168. https://doi.org/10.5455/annalsmedres.2025.01.022.

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Aim: To evaluate the outcomes of cases with epiphora due to punctal stenosis, in which intubation was performed using a 22-gauge (G) intracath in combination with the two-snip or three-snip technique. Materials and Methods:The study included 45 eyes of 23 patients with punctal stenosis who presented to our clinic with epiphora. The severity of punctal stenosis in all cases was graded according to the Kashkouli classification; 32 eyes (71.1%) were graded as grade 1, and 13 eyes (28.9%) as grade 2. Epiphora was confirmed using the fluorescein disappearance test. Lacrimal system lavage was perfor
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Groves, Stephen W., and S. Lance Forstot. "EPIPHORA AFTER PERMANENT PUNCTAL OCCLUSION." Ophthalmic Surgery, Lasers and Imaging Retina 24, no. 4 (1993): 285. http://dx.doi.org/10.3928/1542-8877-19930401-13.

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46

Yuoness, Salem, Irina Rachinsky, Albert A. Driedger, and Tarik Z. Belhocine. "Differentiated Thyroid Cancer With Epiphora." Clinical Nuclear Medicine 36, no. 12 (2011): 1149–52. http://dx.doi.org/10.1097/rlu.0b013e3182336016.

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Saleh, George M., Badrul Hussain, Simon A. Woodruff, Anant Sharma, and Andre S. Litwin. "Tear Film Osmolarity in Epiphora." Ophthalmic Plastic and Reconstructive Surgery 28, no. 5 (2012): 338–40. http://dx.doi.org/10.1097/iop.0b013e31825e6960.

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Detorakis, Efstathios T., and Miltiadis K. Tsilimbaris. "Watery Epiphora After Uncomplicated Phacoemulcification." Ophthalmic Plastic & Reconstructive Surgery 26, no. 1 (2010): 68. http://dx.doi.org/10.1097/iop.0b013e3181b8f2a3.

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STIRN KRANJC, B. "Treatment of epiphora in infants." Acta Ophthalmologica Scandinavica 85 (October 2, 2007): 0. http://dx.doi.org/10.1111/j.1600-0420.2007.01063_3329.x.

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Cogen, Martin S. "Lacrimal Gland Secretion Mimicking Epiphora." Archives of Ophthalmology 122, no. 5 (2004): 791. http://dx.doi.org/10.1001/archopht.122.5.791-c.

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