Canalicular Obstruction

Disorders of the proximal lacrimal systemLacrimal system include obstructionsObstruction at the level of puncta or the canaliculi. Irrespective of the level of the obstructionObstruction, epiphoraEpiphora is the most common presenting symptom. Management depends on the severity of the symptoms and asymptomatic patients can be observed. Canalicular obstructionsObstruction need procedures like conjunctivo-dacryocystorhinostomyDacryocystorhinostomy canalicular trephinationCanalicular trephination or Botulinum toxinBotulinum toxin injection.