MRCEM Notes

Nasolacrimal system

Overview

The nasolacrimal system serves as a system to drain lacrimal secretions (tears) from the eye into the nose.

The nasolacrimal system consists of:
  • Puncta
  • Canaliculi
  • Lacrimal sac
  • Nasolacrimal duct

The nasolacrimal system can be considered as the drainage part of the lacrimal apparatus.

Lacrimal sac
  • Situated at the superior end of the nasolacrimal duct in the lacrimal groove, posterior to the medial palpebral ligament
  • Not to be confused with the lacrimal gland
  • Function is collection of tear fluid before passing into nasolacrimal duct

Nasolacrimal duct
  • Inferior continuation of the lacrimal sac. Approximately 17mm in length in adults
  • Terminates at its opening in the inferior nasal meatus
  • The duct lies within the lacrimal canal and is lined by stratified columnar epithelium containing mucus-secreting goblet cells
  • Course divided into two parts: Interosseeous and membranous parts
  • Interosseeous part: 12mm within nasolacrimal canal of maxilla
  • Membranous part: 5mm within nasal mucusa terminating at the inferior nasal meatus covered by a mucosal fold called the valve of Hasner

Images demonstrating position of nasolacrimal drainage system and nasolacrimal duct

Full-size image