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Acquired external punctal stenosis: surgical management and long-term follow-up.
Orbit 2005; 24(2):73-8O

Abstract

PURPOSE

To introduce and assess the results of a long-term follow-up of a one-snip punctoplasty with monocanalicular stent (Mini Monoka) for acquired external punctal stenosis (AEPS) with and without associated internal punctal and canalicular stenosis.

DESIGN

Prospective non-comparative interventional case series.

METHODS

Thirty-five eligible patients (53 eyes) with AEPS underwent a horizontal one-snip punctoplasty and Mini Monoka tube insertion by or under supervision of a consultant Oculoplastic surgeon from June 1999 to May 2002. Diagnostic probing and irrigation were performed before operation and after operation at the last follow-up. Patients with canalicular obstruction, nasolacrimal duct stenosis and obstruction, and those with less than 6 months' follow-up were excluded. The Chi-square (X(2)), Fisher's exact, Pearson correlation, and multiple logistic regression analysis tests, with 95% confidence interval when appropriate, were used for statistical analysis.

RESULTS

The age range was 39 to 90 years (mean: 67.2, SD: 11.8, SE: 2). Twenty-seven patients (77.1%) were female. There was a normal canalicular system in 21 (39.6%), lower canalicular stenosis in 10 (18.8%), and internal punctal stenosis in 22 (41.5%) eyes. Postoperative follow-up was from 6 to 41 months (mean: 18.5, SD: 9.2, SE: 1.2). There was a 77.4% complete functional success, 7.5% partial functional success, and 96.2% anatomical success at the last follow-up. The success rate was not significantly different between the eyes with and without preoperative internal punctal and canalicular stenosis (p = 0.4). The lower success rate was significantly correlated with a final abnormal probing and irrigation (p < 0.01).

CONCLUSION

The use of a monocanalicular Mini Monoka stent together with a one-snip punctoplasty is helpful to prevent the recurrence of punctal stenosis in the healing phase and addresses the associated internal punctal and canalicular stenosis.

Authors+Show Affiliations

Associate Professor, Eye Research Center, Oculoplastic Unit, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16191791

Citation

Kashkouli, Mohsen Bahmani, et al. "Acquired External Punctal Stenosis: Surgical Management and Long-term Follow-up." Orbit (Amsterdam, Netherlands), vol. 24, no. 2, 2005, pp. 73-8.
Kashkouli MB, Beigi B, Astbury N. Acquired external punctal stenosis: surgical management and long-term follow-up. Orbit. 2005;24(2):73-8.
Kashkouli, M. B., Beigi, B., & Astbury, N. (2005). Acquired external punctal stenosis: surgical management and long-term follow-up. Orbit (Amsterdam, Netherlands), 24(2), pp. 73-8.
Kashkouli MB, Beigi B, Astbury N. Acquired External Punctal Stenosis: Surgical Management and Long-term Follow-up. Orbit. 2005;24(2):73-8. PubMed PMID: 16191791.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acquired external punctal stenosis: surgical management and long-term follow-up. AU - Kashkouli,Mohsen Bahmani, AU - Beigi,Bijan, AU - Astbury,Nick, PY - 2005/9/30/pubmed PY - 2005/11/3/medline PY - 2005/9/30/entrez SP - 73 EP - 8 JF - Orbit (Amsterdam, Netherlands) JO - Orbit VL - 24 IS - 2 N2 - PURPOSE: To introduce and assess the results of a long-term follow-up of a one-snip punctoplasty with monocanalicular stent (Mini Monoka) for acquired external punctal stenosis (AEPS) with and without associated internal punctal and canalicular stenosis. DESIGN: Prospective non-comparative interventional case series. METHODS: Thirty-five eligible patients (53 eyes) with AEPS underwent a horizontal one-snip punctoplasty and Mini Monoka tube insertion by or under supervision of a consultant Oculoplastic surgeon from June 1999 to May 2002. Diagnostic probing and irrigation were performed before operation and after operation at the last follow-up. Patients with canalicular obstruction, nasolacrimal duct stenosis and obstruction, and those with less than 6 months' follow-up were excluded. The Chi-square (X(2)), Fisher's exact, Pearson correlation, and multiple logistic regression analysis tests, with 95% confidence interval when appropriate, were used for statistical analysis. RESULTS: The age range was 39 to 90 years (mean: 67.2, SD: 11.8, SE: 2). Twenty-seven patients (77.1%) were female. There was a normal canalicular system in 21 (39.6%), lower canalicular stenosis in 10 (18.8%), and internal punctal stenosis in 22 (41.5%) eyes. Postoperative follow-up was from 6 to 41 months (mean: 18.5, SD: 9.2, SE: 1.2). There was a 77.4% complete functional success, 7.5% partial functional success, and 96.2% anatomical success at the last follow-up. The success rate was not significantly different between the eyes with and without preoperative internal punctal and canalicular stenosis (p = 0.4). The lower success rate was significantly correlated with a final abnormal probing and irrigation (p < 0.01). CONCLUSION: The use of a monocanalicular Mini Monoka stent together with a one-snip punctoplasty is helpful to prevent the recurrence of punctal stenosis in the healing phase and addresses the associated internal punctal and canalicular stenosis. SN - 0167-6830 UR - https://www.unboundmedicine.com/medline/citation/16191791/Acquired_external_punctal_stenosis:_surgical_management_and_long_term_follow_up_ L2 - http://www.tandfonline.com/doi/full/10.1080/01676830490916055 DB - PRIME DP - Unbound Medicine ER -