A 60 year old man presented with watering from his left eye since 1 year. Syringing revealed a patent drainage system. Rest of the ocular examination was normal. A provisional diagnosis of lacrimal pump failure was made. Confirmations of the diagnosis would be by-
High-Yield Explanation
Following tests are available for evaluation of epiphora:
For mechanical obstruction:-
Regurgitation test, fluorescein dye test, lacrimal syringing test, Jones dye test, dacryocystography.
For functional (physiological) obstruction due to lacrimal pump failure:-
Dacryoscintigraphy or radionucleotide dacryocystography (more sensitive), Fluorescein dye disappearance test.