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Abstract
Tear complaints can arise from either an increased tear production or from a disturbed tear drainage. Increased tear production from the lacrimal gland is a neuroregulated response to a dried out or irritated ocular surface. Dryness often results from a reduced quality of the tear film, but can also be caused by eyelid malposition with increased globe exposure. Impaired tear drainage usually occurs when the lacrimal drainage system is blocked at the level of the ductus nasolacrimalis, the canaliculi or the lacrimal punctae. Anatomical knowledge of the lacrimal system is necessary to distinguish between the different causes. Using cases and illustrations, we provide insight into the diagnostic considerations for a patient with a watery eye.
Authors 5
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Affiliation as printed
Affiliatie VU
Ophthalmology
afd. Oogheelkunde
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Stijn W. van der Meeren Aachen
Leiden University · Leiden University Medical Center · University of Amsterdam
Affiliation as printed
Affiliatie UvA
Leiden University
Leiden University Medical Center
Ophthalmology
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University Medical Center Groningen · University of Groningen · University of Amsterdam
Affiliation as printed
Affiliatie UvA
University of Groningen
University of Groningen, University Medical Center Groningen
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Affiliation as printed
Affiliatie UvA
Affiliatie VU
Ophthalmology
afd. Oogheelkunde
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Affiliation as printed
Affiliatie UvA
Affiliatie VU
Ophthalmology
Peerooz Saeed
afd. Oogheelkunde