Management of Bi-Punctal Stenosis by One-Snip Punctoplasty Combined with Silicone Intubation.

Abstract

PURPOSE:

Assessment of the efficacy of upper and lower one-snip punctoplasty combined with silicone tube stenting for the management of bi-punctal stenosis.

METHODS:

Prospective interventional case series of 20 patients (33 eyes, 66 puncta) with epiphora due to bi-punctal stenosis. All the patients were subjected to bi-punctal 1-snip punctoplasty with silicone intubation, and the tube was kept for 3 months. The follow-up was extended for 6 months after tube removal. The resolution of epiphora with patent puncta was considered as a complete functional success, while patent puncta with residual epiphora were considered as an anatomical success.

RESULTS:

The mean patients' age was 41.3 years and 55% were females. Grade 0 puncta were found in 9.1%, and grade 1 represented 39.4%, while 51.5% had grade 2 puncta. Silicone tube was removed after an average period of 12.1 ± 2.7 weeks. Complete functional success was reported in 90.9% while anatomical success was noticed in 97%.

CONCLUSION:

One-snip punctoplasty combined with 3 months of silicone intubation can be considered in the management of bi-punctal stenosis achieving high success rates with a minor discrepancy between functional and anatomical outcomes.

• Authors: Molham A Elbakary
• Journal: Orbit (Amsterdam, Netherlands) (Orbit) Vol. 41 Issue 3 Pg. 324-328 (Jun 2022) ISSN: 1744-5108 [Electronic] England
• PMID: 33781149 (Publication Type: Journal Article)

Chemical References

• Silicones

Topics

• Adult
• Constriction, Pathologic (surgery)
• Dacryocystorhinostomy
• Eyelid Diseases (surgery)
• Female
• Humans
• Intubation
• Lacrimal Apparatus (surgery)
• Lacrimal Apparatus Diseases (surgery)
• Lacrimal Duct Obstruction (therapy)
• Male
• Prospective Studies
• Silicones
• Treatment Outcome