Abstract:
:Nuclear dacryocystography is simple, relatively harmless method of evaluating patients suspected of having abnormalities of the nasolacrimal drainage system. A group of normal saline containing approximately 100 muCi of 99mTc-pertechnetate is placed on the conjunctiva near the lateral canthus, and serial scintigrams are obtained as the pertechnetate flows along the tear strips, through the nasolacrimal drainage system, into the nasal fossa. By using a pinhole collimator with a very small aperture (1mm), the canaliculi, the nasolacrimal sac, and the nasolacrimal duct are readily visualized. When flow is impaired, the site of obstruction can often be identified. Contrast dacryocystography provides similar information but requires the injection of contrast material directly into a canaliculus. Nuclear dacryocystography provides good functional assessment of nasolacrimal drainage but has serious shortcomings in defining pathologic anatomy. Contrast dacryocystography outlines the anatomy well but often misses minor obstructions. The two studies are complementary and together provide an effective means of evaluating the nasolacrimal drainage system.
journal_name
Semin Nucl Medjournal_title
Seminars in nuclear medicineauthors
Brown M,El Gammal TA,Luxenberg MN,Eubig Cdoi
10.1016/s0001-2998(81)80022-0subject
Has Abstractpub_date
1981-10-01 00:00:00pages
250-7issue
4eissn
0001-2998issn
1558-4623pii
S0001-2998(81)80022-0journal_volume
11pub_type
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