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  • Disorders that affect lacrimal gland and drainage system include: secretory dysfunction (lacrimal insufficiency); blockage of nasolacrimal duct; occlusion/stenosis of punctum; lacrimal gland neoplasms; and inflammations and infections. Clinical manifestations include: excessive tear production; dry eyes. Causes include: systemic diseases, e.g., rheumatoid arthritis; drugs (e.g., diuretics) which may also exacerbate symptoms of a dry eye.
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