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Three-Snip Punctoplasty Outcome Rates and Follow-Up Treatments.
Orbit. 2015 Jun; 34(3):160-3.O

Abstract

PURPOSE

To demonstrate the success rate of three-snip punctoplasty (TSP) for the treatment of punctual stenosis and to evaluate the need for additional treatment after TSP.

METHODS

A retrospective chart review was conducted of all patients undergoing TSP by a single surgeon at Bascom Palmer Eye Institute from January 1, 2006 to January 1, 2010. Outcome measures include the persistence of symptomatic epiphora, the need for additional surgical interventions, and postoperative time required until complete resolution of symptoms achieved.

RESULTS

Primary TSP resulted in an 86% success rate with resolution of symptomatic epiphora without further surgical intervention. Seven eyes (14%) required secondary TSP with or without stent placement. All 6 eyes with TSP with stent placement achieved functional success within an average of 6.8 months (stdev 6.83) from the first TSP. The one eye that was not stented during secondary TSP required a tertiary TSP with stenting and achieved functional success within the 1 month of the final procedure.

CONCLUSION

Primary TSP showed an 86% success rate with the resolution of tearing by an average of 1.2 months post-operatively. Membrane formation or scarring over the surgical site required an additional TSP with stenting in 14% of patients. All 50 eyes eventually achieved functional success. TSP alone as a primary procedure is a safe, relatively simple, and effective treatment of epiphora caused by punctual stenosis. Stenting should be explored as an adjunct to this procedure if primary TSP alone does not produce resolution of symptoms.

Authors+Show Affiliations

Bascom Palmer Eye Institute, University of Miami , Miami, Florida , USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25906237

Citation

Murdock, Jennifer, et al. "Three-Snip Punctoplasty Outcome Rates and Follow-Up Treatments." Orbit (Amsterdam, Netherlands), vol. 34, no. 3, 2015, pp. 160-3.
Murdock J, Lee WW, Zatezalo CC, et al. Three-Snip Punctoplasty Outcome Rates and Follow-Up Treatments. Orbit. 2015;34(3):160-3.
Murdock, J., Lee, W. W., Zatezalo, C. C., & Ballin, A. (2015). Three-Snip Punctoplasty Outcome Rates and Follow-Up Treatments. Orbit (Amsterdam, Netherlands), 34(3), 160-3. https://doi.org/10.3109/01676830.2015.1014513
Murdock J, et al. Three-Snip Punctoplasty Outcome Rates and Follow-Up Treatments. Orbit. 2015;34(3):160-3. PubMed PMID: 25906237.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Three-Snip Punctoplasty Outcome Rates and Follow-Up Treatments. AU - Murdock,Jennifer, AU - Lee,Wendy W, AU - Zatezalo,Chad C, AU - Ballin,Annelyse, Y1 - 2015/04/23/ PY - 2015/4/24/entrez PY - 2015/4/24/pubmed PY - 2016/1/28/medline KW - Epiphora KW - punctal stenosis KW - punctoplasty KW - stent KW - three snip SP - 160 EP - 3 JF - Orbit (Amsterdam, Netherlands) JO - Orbit VL - 34 IS - 3 N2 - PURPOSE: To demonstrate the success rate of three-snip punctoplasty (TSP) for the treatment of punctual stenosis and to evaluate the need for additional treatment after TSP. METHODS: A retrospective chart review was conducted of all patients undergoing TSP by a single surgeon at Bascom Palmer Eye Institute from January 1, 2006 to January 1, 2010. Outcome measures include the persistence of symptomatic epiphora, the need for additional surgical interventions, and postoperative time required until complete resolution of symptoms achieved. RESULTS: Primary TSP resulted in an 86% success rate with resolution of symptomatic epiphora without further surgical intervention. Seven eyes (14%) required secondary TSP with or without stent placement. All 6 eyes with TSP with stent placement achieved functional success within an average of 6.8 months (stdev 6.83) from the first TSP. The one eye that was not stented during secondary TSP required a tertiary TSP with stenting and achieved functional success within the 1 month of the final procedure. CONCLUSION: Primary TSP showed an 86% success rate with the resolution of tearing by an average of 1.2 months post-operatively. Membrane formation or scarring over the surgical site required an additional TSP with stenting in 14% of patients. All 50 eyes eventually achieved functional success. TSP alone as a primary procedure is a safe, relatively simple, and effective treatment of epiphora caused by punctual stenosis. Stenting should be explored as an adjunct to this procedure if primary TSP alone does not produce resolution of symptoms. SN - 1744-5108 UR - https://www.unboundmedicine.com/medline/citation/25906237/Three_Snip_Punctoplasty_Outcome_Rates_and_Follow_Up_Treatments_ L2 - http://www.tandfonline.com/doi/full/10.3109/01676830.2015.1014513 DB - PRIME DP - Unbound Medicine ER -