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Snip punctoplasty offers little additive benefit to lower eyelid tightening in the treatment of pure lacrimal pump failure.
Orbit 2007; 26(1):15-8O

Abstract

Lacrimal pump failure refers to epiphora due to reduced tear outflow in the presence of a patent lacrimal drainage system and well-positioned puncta. This condition has been managed with dacryocystorhinostomy and lower eyelid tightening, which carry success rates of 50-94% and 84-91%, respectively. In this retrospective study, 23 eyes with symptomatic epiphora attributed to lacrimal pump failure underwent the lateral tarsal strip procedure and lower eyelid snip punctoplasty, and 20 eyes (87%) experienced complete or nearly complete resolution of tearing. This success rate is quite similar to that of prior studies of eyelid tightening alone for lacrimal pump failure, suggesting that the addition of the snip punctoplasty may not offer any additional benefit in patients with little or no punctal stenosis. All patients displayed some degree of lower eyelid laxity on lid distraction testing preoperatively, and those with only mild lid laxity responded at least as well as those with more severe laxity.

Authors+Show Affiliations

Ophthalmic Plastic Surgery Section, Division of Ophthalmology, University of Vermont College of Medicine, Burlington, VT, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17510865

Citation

Guercio, Brian, et al. "Snip Punctoplasty Offers Little Additive Benefit to Lower Eyelid Tightening in the Treatment of Pure Lacrimal Pump Failure." Orbit (Amsterdam, Netherlands), vol. 26, no. 1, 2007, pp. 15-8.
Guercio B, Keyhani K, Weinberg DA. Snip punctoplasty offers little additive benefit to lower eyelid tightening in the treatment of pure lacrimal pump failure. Orbit. 2007;26(1):15-8.
Guercio, B., Keyhani, K., & Weinberg, D. A. (2007). Snip punctoplasty offers little additive benefit to lower eyelid tightening in the treatment of pure lacrimal pump failure. Orbit (Amsterdam, Netherlands), 26(1), pp. 15-8.
Guercio B, Keyhani K, Weinberg DA. Snip Punctoplasty Offers Little Additive Benefit to Lower Eyelid Tightening in the Treatment of Pure Lacrimal Pump Failure. Orbit. 2007;26(1):15-8. PubMed PMID: 17510865.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Snip punctoplasty offers little additive benefit to lower eyelid tightening in the treatment of pure lacrimal pump failure. AU - Guercio,Brian, AU - Keyhani,Kayvan, AU - Weinberg,David A, PY - 2007/5/19/pubmed PY - 2007/8/1/medline PY - 2007/5/19/entrez SP - 15 EP - 8 JF - Orbit (Amsterdam, Netherlands) JO - Orbit VL - 26 IS - 1 N2 - Lacrimal pump failure refers to epiphora due to reduced tear outflow in the presence of a patent lacrimal drainage system and well-positioned puncta. This condition has been managed with dacryocystorhinostomy and lower eyelid tightening, which carry success rates of 50-94% and 84-91%, respectively. In this retrospective study, 23 eyes with symptomatic epiphora attributed to lacrimal pump failure underwent the lateral tarsal strip procedure and lower eyelid snip punctoplasty, and 20 eyes (87%) experienced complete or nearly complete resolution of tearing. This success rate is quite similar to that of prior studies of eyelid tightening alone for lacrimal pump failure, suggesting that the addition of the snip punctoplasty may not offer any additional benefit in patients with little or no punctal stenosis. All patients displayed some degree of lower eyelid laxity on lid distraction testing preoperatively, and those with only mild lid laxity responded at least as well as those with more severe laxity. SN - 0167-6830 UR - https://www.unboundmedicine.com/medline/citation/17510865/Snip_punctoplasty_offers_little_additive_benefit_to_lower_eyelid_tightening_in_the_treatment_of_pure_lacrimal_pump_failure_ L2 - http://www.tandfonline.com/doi/full/10.1080/01676830600975164 DB - PRIME DP - Unbound Medicine ER -