Updates on congenital lacrimal drainage anomalies and their association with syndromes and systemic disorders: A major review

Ali, Mohammad Javed

doi:10.1016/j.aanat.2020.151613

Cited by 19 publications

(13 citation statements)

References 67 publications

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“…Systemic associations, as seen in certain cases of punctal agenesis, were absent in IPC, although other lacrimal drainage pathologies have been found associated as described earlier. 1,3,10,20 Other than these newer findings in the present study, the experience of nearly 7 years with IPC has provided newer insights. First, the membranotomy works best if the first puncture into the membrane is performed with a fine dilator (one that rapidly tapers to a needlepoint), followed by a slow taper dilator (broad one).…”

Section: Discussionmentioning

confidence: 68%

“…20 The only exception was its rare occurrence in patients with congenital rubella syndrome. 20 Third, following restoration of the anatomical patency in IPC, it is rare to encounter a functional failure. It could be possible that functional epiphora may represent accompanying incomplete maturation of the lacrimal pump or distal causes of a functional failure.…”

Section: Discussionmentioning

confidence: 99%

“…The second meaningful learning was that IPC, unlike punctal agenesis, was not associated with any systemic disorders. 20 The only exception was its rare occurrence in patients with congenital rubella syndrome. 20 Third, following restoration of the anatomical patency in IPC, it is rare to encounter a functional failure.…”

Section: Discussionmentioning

confidence: 99%

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Update on the Long-Term Outcomes Following the Management of Incomplete Punctal Canalization

Saini¹,

Bothra²,

Ali³

2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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To study the clinical profile, associated lacrimal disorders, and long-term outcomes following a membranotomy, in patients with incomplete punctal canalization (IPC).Methods: Retrospective interventional study was performed of all the patients diagnosed with IPC during the study period over 5 years from January 2015 to December 2020. The diagnosis of IPC was made based on the earlier published guidelines. A combination of rapid and slow taper Nettleship's punctal dilators were used for an effective membranotomy, followed by further assessment of the lacrimal drainage passage. Appropriate interventions for associated lacrimal disorders were performed. Data collected on chart reviews include demographics, clinical presentation, laterality, type of IPC, associated lacrimal anomalies, management modalities, and long-term outcomes.Results: Ninety-eight puncta of 62 eyes of 46 patients with IPC were examined in the clinic. Incomplete punctal canalization-external membrane variant was seen in 62% (61/98) and internal membrane variant in 38% (37/98). Seventy-eight puncta (78/98, 79.5%) in 39 patients underwent membranotomy using Nettleship's punctal dilator. Associated lacrimal drainage pathway deformities were seen in 31% of patients (12/39). Three puncta had mini-monoka insertion for associated canalicular stenosis and canalicular obstruction. Five patients with associated congenital nasolacrimal duct obstruction underwent probing, of which 3 patients needed dacryocystorhinostomy for complex congenital nasolacrimal duct obstruction. Associated punctal agenesis was noted in 3 patients involving the other punctum of the same eye. Canalicular wall hypoplasia involving 3 walls of the canaliculus was seen in 1 patient. At a mean follow up of 28 months, the anatomical and functional outcomes were noted in 100% and 97.4%, respectively.Conclusions: The long-term outcomes of membranotomy for IPC are excellent. Associated congenital lacrimal drainage anomalies are common with IPC.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

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Update on the Long-Term Outcomes Following the Management of Incomplete Punctal Canalization

Saini¹,

Bothra²,

Ali³

2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…Las obstrucciones congénitas de la vía lagrimal están asociadas con diversas malformaciones craneofaciales como las displasias craneometafisiarias y craneodiafisiarias, la disostosis frontonasal o síndromes como el Síndrome Branquio-Oculo-Facial (21)(22)(23). El Síndrome Branquio-Oculo-Facial es una enfermedad congénita rara que causa malformaciones a nivel craneofacial, cervical, auricular, ocular y oral.…”

Section: Malformaciones Craneofacialesunclassified

“…Existen otras anomalías craneofaciales más raras asociadas con la obstrucción del drenaje lagrimal como el proboscis lateralis, la anomalía de Peter, el complejo microftalmia-anoftalmia-coloboma o el disprospus dirrhinus, por lo que es importante sospechar de patologías que afecten la vía lagrimal en el momento de diagnosticar alguna malformación craneofacial (21). También hay síndromes en los que la dacrioestenosis congénita es muy frecuente, por ejemplo, el síndrome de Rubistein Taybi, el síndrome de Down, el síndrome de Goldenhar y la displasia ectodérmica (21) (Figura 6).…”

Section: Malformaciones Craneofacialesunclassified

Obstrucción de la Vía Lagrimal en el Período Neonatal: Diagnósticos Diferenciales - Revisión Bibliográfica del Tema

Shih

Cruz

Solari³

et al. 2023

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Objetivo: describir diferentes diagnósticos diferenciales de la obstrucción de la vía lagrimalMateriales y Métodos: revisión bibliográfica y análisis de artículos encontrados mediante elbuscador PubMed asociados al temaResultados: se hizo un análisis total de 23 artículos sobre los temas epífora, disgenesia del drenajelagrimal, dacrioestenosis, dacriocistocele congénito y malformaciones craneofaciales asociadas aobstrucción de la vía lagrimal. Se hizo revisión de la epidemiología, presentación clínica,diagnóstico, manejo y complicaciones de cada patología.Conclusiones: existen diversos diagnósticos diferenciales de la obstrucción de vía lagrimal que sedeben conocer y diagnosticar de manera temprana para poder decidir el mejor tratamiento, ya seael conservador o el sondaje lagrimal.

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Punctal Agenesis

Ali

2023

Atlas of Lacrimal Drainage Disorders

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Updates on congenital lacrimal drainage anomalies and their association with syndromes and systemic disorders: A major review

Cited by 19 publications

References 67 publications

Update on the Long-Term Outcomes Following the Management of Incomplete Punctal Canalization

Update on the Long-Term Outcomes Following the Management of Incomplete Punctal Canalization

Obstrucción de la Vía Lagrimal en el Período Neonatal: Diagnósticos Diferenciales - Revisión Bibliográfica del Tema

Punctal Agenesis

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