Lacrimal pump failure

MedGen UID:: 1636062
•Concept ID:: C4703508
•: Disease or Syndrome

HPO:	HP:0031734

Definition

A form of watery eye associated with abnormal lid tone and/or lid position. The former is due to lid laxity (common involutional change in the elderly) or a weak orbicularis muscle (e.g. due to VII cranial nerve palsy). The latter is typically associated with ectropion causing punctal eversion. [from HPO]

Term Hierarchy

GTR
MeSH

CClinical test, RResearch test, OOMIM, GGeneReviews, VClinVar

CROGVLacrimal pump failure

Phenotypic abnormality
- Abnormality of the eye
  - Abnormal eye physiology
    - Lacrimation abnormality
      - Epiphora
        Lacrimal pump failure

Professional guidelines

PubMed

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction.

Mor JM, Guo Y, Koch KR, Heindl LM
J Vis Exp 2017 Oct 13;(128) doi: 10.3791/55981. PMID: 29053675 Free PMC Article

Dacryocystorhinostomy. Diagnosis and treatment of nasolacrimal canal obstructions.

Onerci M
Rhinology 2002 Jun;40(2):49-65. PMID: 12091994

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Recent clinical studies

Etiology

Outcomes of Endonasal Dacryocystorhinostomy Performed for Functional Nasolacrimal Obstruction With Delay on Dacryoscintigraphy.

Hodgson K, Hussain A
J Craniofac Surg 2024 Mar-Apr 01;35(2):501-504. Epub 2023 Oct 10 doi: 10.1097/SCS.0000000000009783. PMID: 37815386

Physiological utility of ultrasound biomicroscopy in the lacrimal drainage system.

Al-Faky YH
Br J Ophthalmol 2013 Oct;97(10):1325-9. Epub 2013 Aug 12 doi: 10.1136/bjophthalmol-2013-303662. PMID: 23940269

The lacrimal bypass tube for lacrimal pump failure attributable to facial palsy.

Madge SN, Malhotra R, Desousa J, McNab A, O'Donnell B, Dolman P, Selva D
Am J Ophthalmol 2010 Jan;149(1):155-9. Epub 2009 Nov 6 doi: 10.1016/j.ajo.2009.08.012. PMID: 19896634

Snip punctoplasty offers little additive benefit to lower eyelid tightening in the treatment of pure lacrimal pump failure.

Guercio B, Keyhani K, Weinberg DA
Orbit 2007 Mar;26(1):15-8. doi: 10.1080/01676830600975164. PMID: 17510865

Tarsal strip procedure for the correction of tearing.

Vick VL, Holds JB, Hartstein ME, Massry GG
Ophthalmic Plast Reconstr Surg 2004 Jan;20(1):37-9. doi: 10.1097/01.IOP.0000103005.81708.FD. PMID: 14752308

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Diagnosis

Physiological utility of ultrasound biomicroscopy in the lacrimal drainage system.

Al-Faky YH
Br J Ophthalmol 2013 Oct;97(10):1325-9. Epub 2013 Aug 12 doi: 10.1136/bjophthalmol-2013-303662. PMID: 23940269

The lacrimal bypass tube for lacrimal pump failure attributable to facial palsy.

Madge SN, Malhotra R, Desousa J, McNab A, O'Donnell B, Dolman P, Selva D
Am J Ophthalmol 2010 Jan;149(1):155-9. Epub 2009 Nov 6 doi: 10.1016/j.ajo.2009.08.012. PMID: 19896634

Standardized echography in the diagnosis of lacrimal drainage dysfunction.

Dutton JJ
Arch Ophthalmol 1989 Jul;107(7):1010-2. doi: 10.1001/archopht.1989.01070020072032. PMID: 2665695

See all (3)