Nasolacrimal duct obstruction: the relationship with nasal allergy

Prof. Desiderio Passali 1 , Leandro Politi 2 , Lei Chen 3 , Cemal Cingi 4 , Codrut Sarafoleanu 5 , and Pasquale Cassano 6
  • 1 Department of ENT, University of Siena, viale Bracci 11, 53100, , Siena, Italy
  • 2 Department of ENT, University of Siena, , Siena, Italy
  • 3 Department of Otolaryngology Head and Neck Surgery, Chinese PLA General Hospital, , Beijing, China
  • 4 Department of Otolaryngology Head and Neck Surgery, Osmangazi University, Faculty of Medicine, , Eskisehir, Turkey
  • 5 Department of ENT, “Carol Davila” University of Medicine and Pharmacy, , Bucharest, Romania
  • 6 Department of ENT, University of Foggia, , Foggia, Italy


Nasolacrimal duct obstruction (NLDO) is a common event in clinical practice. The authors, all members of the Italian Society of Rhinology, analysed 100 cases from different ENT Departments. The causes of NLDO, according to the etiology, can be divided into two classes: idiopathic primary acquired nasolacrimal duct obstruction and secondary. The aim of the study was to describe an association between the sign and symptoms of chronic rhinosinusitis and a complaint of epiphora.

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  • 1. Nemet A.Y., Vinker S. - Associated morbidity of nasolacrimal duct obstruction - a large community based case-control study. Graefes Arch Clin Exp Ophthalmol., 2014;252(1):125-130. doi:

    • Crossref
    • Export Citation
  • 2. McNabb A.A. - Lacrimal canalicular obstruction associated with topical ocular medication. Aust N Z J Ophthalmol., 1998;26(3):219-223.

  • 3. Ali M.J., Ayyar A., Motukupally S.R., Sharma S., Naik M.N. - Bacteremia during dacryocystorhinostomy: results of intra-operative blood cultures. J Ophthalmic Inflamm Infect., 2014;4:27. doi:

    • Crossref
    • Export Citation
  • 4. Seider N., Miller B., Beiran I. - Topical glaucoma therapy as a risk factor for nasolacrimal duct obstruction. Am J Ophthalmol., 2008;145(1):120-123. Epub 2007 Oct 29.

  • 5. Linberg J.V., McCormick S.A. - Primary acquired nasolacrimal duct obstruction. A clinicopathologic report and biopsy technique. Ophthamology, 1986;93(8):1055-1063.

  • 6. Bielory L. - Allergic conjunctivitis and the impact of allergic rhinitis. Curr Allergy Asthma Rep., 2010;10(2):122-134. doi:

    • Crossref
    • Export Citation
  • 7. Garfin S.W. - Etiology of dacryocystitis and epiphora. Arch Ophthalmol., 1942;27(1):167-188. doi:

    • Crossref
    • Export Citation
  • 8. Mauriello J.A. Jr, Palydowycz S., DeLuca J. - Clinicopathologic study of lacrimal sac and nasal mucosa in 44 patients with complete acquired nasolacrimal duct obstruction. Ophthal Plast Reconstr Surg., 1992;8(1):13-21.

  • 9. Kallman J.E., Foster J.A., Wulc A.E., Yousem D.M., Kennedy D.W. - Computed tomography in lacrimal outflow obstruction. Ophthalmology, 1997;104(4):676-682.


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