Evaluation and Treatment of Tearing
Evaluation of Tearing
Tearing is a common and bothersome occurrence. Dr. Palu performs a thorough and extensive evaluation of every patient with tearing. Tearing has many causes including,
- Disorders of tear production
- Disorders of the eyelid (ectropion, entropion, eyelid retraction, eyelash problems, etc)
- Disorders of tear drainage (punctal stenosis, canalicular stenosis, tear duct obstruction, etc).
Treatment of Tearing
Dr. Palu performs the necessary procedures to address tearing. This may include,
- Eyelid surgery (repair of ectropion, entropion, retraction, etc)
- Eyelash surgery (resection and reconstruction, electrolysis, etc)
- Punctalplasty (opening of the punctum)
- Canaliculoplasty (opening of the canaliculus)
- Placement of tubes or stents
- Dacryocystorhinostomy (tear duct surgery, DCR)
- Conjunctivaldacryocystorhinostomy (CDCR, Jones tubes)
Dr. Palu also treats tear duct infections (dacryocystitis) and infections of the canaliculus (canaliculitis).
Dr. Palu treats injuries to the nasolacrimal system including canalicular lacerations, eyelid lacerations, and nasolacrimal duct obstruction/blockage (tear duct obstruction/blockage)
Dr. Palu has over 23 years of extensive experience in treating patients who have sustained injuries around the eyes. His training at NYU included treating trauma patients at Bellevue Hospital, where he has taught since 1989 as part of his teaching at NYU School of Medicine and NYU Medical Center. During his fellowship in Boston he treated trauma patients at the Massachusetts Eye and Ear Infirmary and Massachusetts General Hospital.
Dr. Palu will often work in conjunction with surgeons in other specialties to treat patients with complex injuries involving structures around the eyes.