Management of dysfunctional tearing starts with evaluation

WAILEA, Hawaii – Probing and irrigation gives clues to where blockages may lie and is the place to start when evaluating patients with increased lacrimation and decreased drainage, according to a speaker.Further elements of the evaluation include the dye disappearance test, Jones dye tests, dacryoscintigraphy and dacryocystography, George B. Bartley, MD, said at the Hawaiian Eye 2015 meeting.Dacryoscintigraphy defines lacrimal drainage function, whereas dacryocystography, which is a little more cumbersome, he said, defines lacrimal drainage anatomy.

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