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Self-retaining bicanaliculus stents as an adjunct to 3-snip punctoplasty in management of upper lacrimal duct stenosis: a comparison to standard 3-snip procedure.
Ophthalmic Plast Reconstr Surg 2013 Mar-Apr; 29(2):123-7OP

Abstract

PURPOSE

To evaluate the efficacy of self-retaining bicanaliculus stents when used as an adjunct to 3-snip punctoplasty in comparison with standard 3-snip procedure between fellow eyes.

METHODS

Prospective, randomized, comparative study. Thirty-two eyes of 16 consecutive patients with acquired, nontraumatic stenosis of the proximal lacrimal duct were randomly distributed into 2 equal study groups. Lower punctal stenosis was a standard prerequisite. Group A (16 eyes) received a simple 3-snip punctoplasty, while group B (16 fellow eyes) underwent a modified 3-snip punctoplasty combined with insertion of self-retaining bicanaliculus stents. Duration of follow ups: 6 months. Anatomical, functional, and subjective parameters were evaluated.

RESULTS

A statistically significant difference in anatomical success rates was observed in favor of group B (p = 0.011) 6 months postoperatively. Complete relief from epiphora was noted in 8 eyes of group B compared with 2 eyes of group A (p = 0.057). In regard to mixed (absolute and partial) functional success rates, group B exceeded with statistically significant difference (15 eyes group B vs. 6 eyes group A; p = 0.002). A nasolacrimal duct obstruction was subsequently diagnosed in 3 of the nonpatient eyes. Reintroduction of silicone tubes was required in 4 eyes of group B.

CONCLUSIONS

The use of self-retaining bicanaliculus stents seems to improve anatomical, functional, and subjective scores when combined with standard 3-snip punctoplasty in patients with acquired upper lacrimal duct stenosis.

Authors+Show Affiliations

2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki, Greece. nikocha@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

23392314

Citation

Chalvatzis, Nikolaos T., et al. "Self-retaining Bicanaliculus Stents as an Adjunct to 3-snip Punctoplasty in Management of Upper Lacrimal Duct Stenosis: a Comparison to Standard 3-snip Procedure." Ophthalmic Plastic and Reconstructive Surgery, vol. 29, no. 2, 2013, pp. 123-7.
Chalvatzis NT, Tzamalis AK, Mavrikakis I, et al. Self-retaining bicanaliculus stents as an adjunct to 3-snip punctoplasty in management of upper lacrimal duct stenosis: a comparison to standard 3-snip procedure. Ophthalmic Plast Reconstr Surg. 2013;29(2):123-7.
Chalvatzis, N. T., Tzamalis, A. K., Mavrikakis, I., Tsinopoulos, I., & Dimitrakos, S. (2013). Self-retaining bicanaliculus stents as an adjunct to 3-snip punctoplasty in management of upper lacrimal duct stenosis: a comparison to standard 3-snip procedure. Ophthalmic Plastic and Reconstructive Surgery, 29(2), pp. 123-7. doi:10.1097/IOP.0b013e31827f5a10.
Chalvatzis NT, et al. Self-retaining Bicanaliculus Stents as an Adjunct to 3-snip Punctoplasty in Management of Upper Lacrimal Duct Stenosis: a Comparison to Standard 3-snip Procedure. Ophthalmic Plast Reconstr Surg. 2013;29(2):123-7. PubMed PMID: 23392314.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-retaining bicanaliculus stents as an adjunct to 3-snip punctoplasty in management of upper lacrimal duct stenosis: a comparison to standard 3-snip procedure. AU - Chalvatzis,Nikolaos T, AU - Tzamalis,Argyrios K, AU - Mavrikakis,Ioannis, AU - Tsinopoulos,Ioannis, AU - Dimitrakos,Stavros, PY - 2013/2/9/entrez PY - 2013/2/9/pubmed PY - 2013/8/22/medline SP - 123 EP - 7 JF - Ophthalmic plastic and reconstructive surgery JO - Ophthalmic Plast Reconstr Surg VL - 29 IS - 2 N2 - PURPOSE: To evaluate the efficacy of self-retaining bicanaliculus stents when used as an adjunct to 3-snip punctoplasty in comparison with standard 3-snip procedure between fellow eyes. METHODS: Prospective, randomized, comparative study. Thirty-two eyes of 16 consecutive patients with acquired, nontraumatic stenosis of the proximal lacrimal duct were randomly distributed into 2 equal study groups. Lower punctal stenosis was a standard prerequisite. Group A (16 eyes) received a simple 3-snip punctoplasty, while group B (16 fellow eyes) underwent a modified 3-snip punctoplasty combined with insertion of self-retaining bicanaliculus stents. Duration of follow ups: 6 months. Anatomical, functional, and subjective parameters were evaluated. RESULTS: A statistically significant difference in anatomical success rates was observed in favor of group B (p = 0.011) 6 months postoperatively. Complete relief from epiphora was noted in 8 eyes of group B compared with 2 eyes of group A (p = 0.057). In regard to mixed (absolute and partial) functional success rates, group B exceeded with statistically significant difference (15 eyes group B vs. 6 eyes group A; p = 0.002). A nasolacrimal duct obstruction was subsequently diagnosed in 3 of the nonpatient eyes. Reintroduction of silicone tubes was required in 4 eyes of group B. CONCLUSIONS: The use of self-retaining bicanaliculus stents seems to improve anatomical, functional, and subjective scores when combined with standard 3-snip punctoplasty in patients with acquired upper lacrimal duct stenosis. SN - 1537-2677 UR - https://www.unboundmedicine.com/medline/citation/23392314/Self_retaining_bicanaliculus_stents_as_an_adjunct_to_3_snip_punctoplasty_in_management_of_upper_lacrimal_duct_stenosis:_a_comparison_to_standard_3_snip_procedure_ L2 - http://Insights.ovid.com/pubmed?pmid=23392314 DB - PRIME DP - Unbound Medicine ER -