Obstrução primária do dueto nasolacrimal: proposta de classificação histopatológica

Obstrução primária do dueto nasolacrimal: proposta de classificação histopatológica


Simone Haber Duellberg von Faber Bison,
Paulo Sérgio de Moraes Barros,
José Wilson Cursino,
Ralph Cohen


Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.61 no.1 São Paulo fev. 1998


The purpose was to determine and classify the histological changes that occur on primary acquired nasolacrimal duct obstruction. It was made a prospective study of 51 specimens biopsed during external dacryocystorrinostomy in 50 cases of primary acquired nasolacrimal duct obstruction. The ducts were classified on three histopathological patterns: inflammatory in chronification (9.8%), inflammatory chronic without fibrous obliteration (58.8%) and inflammatory chronic with fibrous obliteration (31.4%>).

There was a positive association between the third pattern and the absence of luminal epithelium.

The three histopathological patterns didn't show difference when compared in relation to the evolution period of the symptoms.


1 Adenis JP, Leboutet MJ, Loubet A, Loubet R, Robin A. Les cellules cilées du systeme Jacrymal. Ultrastructure comparée de la muqueuse lacrymale. J Fr Ophtalmol 1980;3:343-8.
2 Cowen DE, Nianiaris N, Howarth D, Hurwitz JJ. Lacrimal sac histopathology and lacrimal sac stone formation: new insights. In: Hurwitz JJ, Migli M, Spinelli D, Van Bijsterveld OP. Lacrimal system. Amsterdam, Milano, New York: Kugler & Guedini Publications, 1995; p.133-40.
3 Duke-Elder S, MacFaul PA. Dacryocystitis. In: Duke-Elder S. System of Ophthalmology. London: Henry Kimpton, 1974; p.699-723.
4 Flach A. The fluorescein appearance test for lacrimal obstruction. Ann Ophthalmol 1979;11:237-46.
5 Font RL. Eyelids and lacrimal drainage system. In: Spencer WH. Ophthalmic pathology. An atlas and textbook. 3ª Ed. Philadelphia: W. B. Saunders Company, 1985; p.2314-36.
6 Fuchs E. Afecciones de los órganos lacrimales. In______ Oftalmologia. 3ª Ed. Barcelona: Editorial Labor, 1958; p.715-35.
7 Garfin SW. Etiology of dacryocystitis and epiphora. Arch Ophthalmol 1942;27:167-88.
8 Hogan MJ, Zimmerman LE. Excretory lacrimal apparatus. In:______- Ophthalmic pathology. An atlas and textbook. 2ª Ed. Philadelphia: W. B. Saunders Company, 1962; p.168-225.
9 Jones LT, Wobig JL. Lacrimal diagnostic tests. In:______. Surgery of the eyelids and lacrimal system. Birmigham: Aesculapius Publishing Company, 1976; p.141-51.
10 Kemler JI. The etiology of lacrimal disorders. Am J Ophthalmol 1930; 13:610-2.
11 Linberg JV, Mccormick SA. Primary acquired nasolacrimal duct obstruction. Ophthalmology 1986;93: 1055-62.
12 Radnót M. Ultastructure of the lacrimal sac. Ann Ophthalmol 1972; 4:1050-70.
13 Rodriguez JJ, Rivas L, Oroza M, Alvarez I, Murube J. Estudio histológico del saco lacrimal normal y con dacriocistitis. Arch Soc Españ Oftalmol 1994; 66:459-66.
14 Rollet, Bussy. Mémoires originaux. Recherches sur cent cas de dacryocystites avec extraction du sac et du canal. Arch Ophtalmol 1923;40:321-43.
15 Sommers IG. Pathology of the lacrimal organs. In:______ Histology and histopathology of the eye and its adnexa. New York: Grune & Stration Inc., 1946; p.573-90.