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Abnormal lacrimal punctum morphology

MedGen UID:: 868925
•Concept ID:: C4023337
•: Anatomical Abnormality

Synonym:	Abnormality of the lacrimal punctum

HPO:	HP:0011479

Definition

An abnormality of the lacrimal punctum, an opening on the eyelid close to the medial canthus that drains tears from the conjunctival sac into the lacrimal duct in the same eyelid. [from HPO]

Term Hierarchy

GTR
MeSH

CClinical test, RResearch test, OOMIM, GGeneReviews, VClinVar

CROGVAbnormal lacrimal punctum morphology

Abnormality of the head
- Abnormality of the face
  - Abnormality of the orbital region
    - Abnormality of the ocular adnexa
      - Abnormal ocular adnexa morphology
        Abnormal nasolacrimal system morphology
        Abnormal lacrimal punctum morphology
        Absent lacrimal punctum
        Ectopic lacrimal punctum
        Hypoplasia of the lacrimal punctum
        Lacrimal punctal atresia
        Stenosis of lacrimal punctum
        Supernumerary lacrimal punctum

Professional guidelines

PubMed

The Immunological Basis of Dry Eye Disease and Current Topical Treatment Options.

Periman LM, Perez VL, Saban DR, Lin MC, Neri P
J Ocul Pharmacol Ther 2020 Apr;36(3):137-146. Epub 2020 Mar 12 doi: 10.1089/jop.2019.0060. PMID: 32175799 Free PMC Article

Punctal agenesis: Embryology, presentation, management modalities and outcomes.

Dohlman JC, Habib LA, Freitag SK
Ann Anat 2019 Jul;224:113-116. Epub 2019 May 16 doi: 10.1016/j.aanat.2019.04.004. PMID: 31102704

The Differential Diagnosis of Dry Eyes, Dry Mouth, and Parotidomegaly: A Comprehensive Review.

Cornec D, Saraux A, Jousse-Joulin S, Pers JO, Boisramé-Gastrin S, Renaudineau Y, Gauvin Y, Roguedas-Contios AM, Genestet S, Chastaing M, Cochener B, Devauchelle-Pensec V
Clin Rev Allergy Immunol 2015 Dec;49(3):278-87. doi: 10.1007/s12016-014-8431-1. PMID: 24952023

See all (31)

Recent clinical studies

Etiology

Etiopathogenesis of primary acquired nasolacrimal duct obstruction (PANDO).

Ali MJ
Prog Retin Eye Res 2023 Sep;96:101193. Epub 2023 Jul 1 doi: 10.1016/j.preteyeres.2023.101193. PMID: 37394093

Congenital inner eyelid folds.

Millett M, Hyasat JG, Lueder GT
Ophthalmic Genet 2023 Aug;44(4):401-402. Epub 2023 Jan 13 doi: 10.1080/13816810.2022.2127151. PMID: 36636984

Hereditary disorders affecting the lacrimal system.

Allen RC
Curr Opin Ophthalmol 2014 Sep;25(5):424-31. doi: 10.1097/ICU.0000000000000092. PMID: 25029093

Proboscis lateralis.

Lelli GJ Jr, Maher EA, Milite JP, Dyleski R
Ophthalmic Plast Reconstr Surg 2008 Nov-Dec;24(6):499-501. doi: 10.1097/IOP.0b013e31818b6e57. PMID: 19033859

Lacrimal outflow dysgenesis.

Yuen SJ, Oley C, Sullivan TJ
Ophthalmology 2004 Sep;111(9):1782-90. doi: 10.1016/j.ophtha.2004.02.011. PMID: 15350337

See all (198)

Diagnosis

Congenital alacrima.

Zhao Z, Allen RC
Orbit 2022 Apr;41(2):162-169. Epub 2021 Sep 5 doi: 10.1080/01676830.2021.1974057. PMID: 34486478

Congenital dacryocystocele.

Pujari A
BMJ Case Rep 2016 Dec 9;2016 doi: 10.1136/bcr-2016-218029. PMID: 27941115 Free PMC Article

The lacrimal system.

Örge FH, Boente CS
Pediatr Clin North Am 2014 Jun;61(3):529-39. doi: 10.1016/j.pcl.2014.03.002. PMID: 24852150

Branchio-oto-renal syndrome.

Jalil J, Basheer F, Shafique M
J Coll Physicians Surg Pak 2014 May;24(5):367-8. PMID: 24848399

Proboscis lateralis.

Lelli GJ Jr, Maher EA, Milite JP, Dyleski R
Ophthalmic Plast Reconstr Surg 2008 Nov-Dec;24(6):499-501. doi: 10.1097/IOP.0b013e31818b6e57. PMID: 19033859

See all (289)

Therapy

Etiopathogenesis of primary acquired nasolacrimal duct obstruction (PANDO).

Ali MJ
Prog Retin Eye Res 2023 Sep;96:101193. Epub 2023 Jul 1 doi: 10.1016/j.preteyeres.2023.101193. PMID: 37394093

The Immunological Basis of Dry Eye Disease and Current Topical Treatment Options.

Periman LM, Perez VL, Saban DR, Lin MC, Neri P
J Ocul Pharmacol Ther 2020 Apr;36(3):137-146. Epub 2020 Mar 12 doi: 10.1089/jop.2019.0060. PMID: 32175799 Free PMC Article

Intralacrimal migration of Masterka(®) stents.

Fayet B, Racy E, Katowitz WR, Katowitz JA, Ruban JM, Brémond-Gignac D
J Fr Ophtalmol 2018 Mar;41(3):206-211. Epub 2018 Mar 23 doi: 10.1016/j.jfo.2017.11.009. PMID: 29576330

Congenital aberrant tearing: a re-look.

Miller MT, Strömland K, Ventura L
Trans Am Ophthalmol Soc 2008;106:100-15; discussion 115-6. PMID: 19277226 Free PMC Article

The pathology of dry eye: the interaction between the ocular surface and lacrimal glands.

Stern ME, Beuerman RW, Fox RI, Gao J, Mircheff AK, Pflugfelder SC
Cornea 1998 Nov;17(6):584-9. doi: 10.1097/00003226-199811000-00002. PMID: 9820935

See all (71)

Prognosis

Nasal and Lacrimal Sac Histopathology in Patients With Systemic Sarcoidosis Undergoing External Lacrimal Drainage Surgery.

Stewart CM, Luthert PJ, Rose GE
Ophthalmic Plast Reconstr Surg 2019 May/Jun;35(3):247-250. doi: 10.1097/IOP.0000000000001217. PMID: 30234834

The Treatment of Congenital Nasolacrimal Duct Obstruction in Children: A Retrospective Review.

Eustis HS, Nguyen AH
J Pediatr Ophthalmol Strabismus 2018 Jan 1;55(1):65-67. Epub 2017 Oct 9 doi: 10.3928/01913913-20170703-08. PMID: 28991351

Proboscis lateralis.

Lelli GJ Jr, Maher EA, Milite JP, Dyleski R
Ophthalmic Plast Reconstr Surg 2008 Nov-Dec;24(6):499-501. doi: 10.1097/IOP.0b013e31818b6e57. PMID: 19033859

Lymphoproliferative disorders of the ocular adnexa.

Cockerham GC, Jakobiec FA
Int Ophthalmol Clin 1997 Fall;37(4):39-59. doi: 10.1097/00004397-199703740-00005. PMID: 9429931

Paediatric dacryocystorhinostomy.

Hakin KN, Sullivan TJ, Sharma A, Welham RA
Aust N Z J Ophthalmol 1994 Nov;22(4):231-5. doi: 10.1111/j.1442-9071.1994.tb00789.x. PMID: 7727099

See all (90)

Clinical prediction guides

A lacrimal gland is a lacrimal gland, but rodent's and rabbit's are not human.

Schechter JE, Warren DW, Mircheff AK
Ocul Surf 2010 Jul;8(3):111-34. doi: 10.1016/s1542-0124(12)70222-7. PMID: 20712969

Double lacrimal puncta: clinical presentation and potential mechanisms of epiphora.

Satchi K, McNab AA
Ophthalmology 2010 Jan;117(1):180-183.e2. Epub 2009 Oct 28 doi: 10.1016/j.ophtha.2009.06.054. PMID: 19875171

Congenital aberrant tearing: a re-look.

Miller MT, Strömland K, Ventura L
Trans Am Ophthalmol Soc 2008;106:100-15; discussion 115-6. PMID: 19277226 Free PMC Article

Lacrimal outflow dysgenesis.

Yuen SJ, Oley C, Sullivan TJ
Ophthalmology 2004 Sep;111(9):1782-90. doi: 10.1016/j.ophtha.2004.02.011. PMID: 15350337

The EEC syndrome: a literature study.

Roelfsema NM, Cobben JM
Clin Dysmorphol 1996 Apr;5(2):115-27. doi: 10.1097/00019605-199604000-00003. PMID: 8723561

See all (98)

Recent systematic reviews

Assessing the success rate of treatment in simple and complex congenital nasolacrimal duct obstruction: a systematic review and meta-analysis.

Eshraghi B, Babaei L, Moradi M, Chaibakhsh S, Aghajani A
Graefes Arch Clin Exp Ophthalmol 2024 Jul;262(7):1993-2004. Epub 2023 Dec 7 doi: 10.1007/s00417-023-06318-4. PMID: 38059998

Phenotypic spectrum of FGF10-related disorders: a systematic review.

Bzdega K, Karolak JA
PeerJ 2022;10:e14003. Epub 2022 Sep 14 doi: 10.7717/peerj.14003. PMID: 36124135 Free PMC Article

Nasolacrimal Duct Probing for Young Children With Congenital Nasolacrimal Duct Obstructions in China: A 10-Year Systematic Review.

Xiang Q, Gao X, Chen X, Qi J, Fang J
J Pediatr Ophthalmol Strabismus 2019 Nov 1;56(6):365-372. doi: 10.3928/01913913-20190923-04. PMID: 31743404

See all (3)

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Abnormal lacrimal punctum morphology

Definition

Term Hierarchy

Professional guidelines

PubMed

Recent clinical studies

Etiology

Diagnosis

Therapy

Prognosis

Clinical prediction guides

Recent systematic reviews

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