Lacrimal Trauma and Its Management

Abstract

Injuries of the lacrimal drainage apparatus, usually in the form of canalicular lacerations, are relatively common in periorbital and facial trauma. Less frequently encountered is injury of the nasolacrimal duct, usually in midfacial and naso-orbital-ethmoid (NOE) fractures. Failure to recognize and manage lacrimal injuries is one of the common complications of eyelid/midfacial injuries. The chapter shall herewith outline the predisposing factors and evaluation of the patient and discuss details of principles and mechanisms of management including long-term follow-up.