Lacrimal System - Dr. Napier

Question 1

T/F Lacrimal gland is a exocrine gland.

Answer 1

False, it’s endocrine

Question 2

Lacrimal gland is innervated by CN___.

Answer 2

5

Question 3

Orbicularis muscle is innervated by CN___.

Answer 3

7. damage to this nerve can cause ectropion on the lower eyelid

Question 4

Jones Test 1 and 2 is to test for what?

Answer 4

lacrimal system potency.

Question 5

What is the dye that’s use in Jones Test 1 and 2?

Answer 5

fluorescein

Question 6

Which Jones Test uses irrigation of the canaliculus?

Answer 6

Jones Test 2

Question 7

What is dacryocystography?

Answer 7

X-ray take for the tear duct after injection of dye that was used to help locate the blockage.

Question 8

T/F Punctal stenosis is where the external opening of the lacrimal canaliculus is narrowed or occluded.

Answer 8

True

Question 9

The most common cause for canalicular/duct obstruction is ________.

Answer 9

Idiopathic fibrosis (scarring or thickening)

Question 10

What are the signs congenital obstruction in babies?

Answer 10

Epiphora(outflow of tears) and mucous discharge

Question 11

What is another name for Aqueous Dry Eye?

Answer 11

Keratoconjunctivits sicca (dry eye syndrome)

Question 12

Does Aqueous Dry Eye have reflex tearing while performing the Shirmer’s test?

Answer 12

NO

Question 13

What is the function of Restasis(Ciclosporin)?

Answer 13

To treat dry eyes by increasing the production of tear

Question 14

Dacryocystitis is secondary to ________.

Answer 14

Obstruction

Question 15

Canaliculitis is secondary to ________.

Answer 15

infection

Question 16

Dacryoadenitis is the inflammation of the _______.

Answer 16

lacrimal gland

Question 17

What is the typical organism that causes canaliculitis?

Answer 17

actinomyces

Question 18

What antibiotics do we prescript to canaliculitis patient/

Answer 18

doxycycline(kill gram(-) bacteria) and polytrim(kills both gram + and - bacteria)

Question 19

Where in the eye do you see dacryoadenitis occur?

Answer 19

lateral upper eyelid