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A novel surgical technique for punctal stenosis: placement of three interrupted sutures after rectangular three-snip punctoplasty.
BMC Ophthalmol 2018; 18(1):70BO

Abstract

BACKGROUND

We developed a novel surgical technique to treat punctal stenosis involving the placement of three interrupted sutures after rectangular three-snip punctoplasty (TSP).

METHODS

Retrospective chart review of forty-eight eyes of 44 patients who underwent rectangular TSP with three interrupted sutures was performed. We investigated whether anatomical recurrences (re-stenosis) occurred during the follow-up period. The subjective symptoms of patients were surveyed.

RESULTS

The mean patient age was 64.1 years, and the mean follow-up time was 17.4 months. The placement of three interrupted sutures after rectangular TSP afforded satisfactory outcomes. Regarding subjective symptoms, 91.7% of the eyes (44/48) were reported as improved. Among 4 eyes determined as symptomatic failure, anatomical recurrence (re-stenosis of the punctum) was observed in only one eye. The other three (6.25%, 3/48 eyes) showed functional nasolacrimal obstruction, namely epiphora with patent tear duct.

CONCLUSIONS

Placement of three interrupted sutures after rectangular TSP to treat punctal stenosis showed promising results. Notably anatomical success rate was about 98%. Further comparisons between the novel surgical technique and conventional techniques are required.

Authors+Show Affiliations

College of medicine, Soonchunhyang University, 204-ho, 31 Soonchunhyang-6-gil, Dongnam-gu, Cheonan, 31151, Choongcheongnam-do, South Korea.Soo Eye Clinics, 202-13, Miadong, Kangbook-gu, Seoul, 01118, South Korea.Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, 170 Jomaru-ro, Wonmi-gu, Bucheon, 14584, Gyeonggi-do, South Korea.Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, 170 Jomaru-ro, Wonmi-gu, Bucheon, 14584, Gyeonggi-do, South Korea. ysyat01@naver.com.Soo Eye Clinics, 202-13, Miadong, Kangbook-gu, Seoul, 01118, South Korea. ophlee@naver.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29506497

Citation

Park, Seong Jun, et al. "A Novel Surgical Technique for Punctal Stenosis: Placement of Three Interrupted Sutures After Rectangular Three-snip Punctoplasty." BMC Ophthalmology, vol. 18, no. 1, 2018, p. 70.
Park SJ, Noh JH, Park KB, et al. A novel surgical technique for punctal stenosis: placement of three interrupted sutures after rectangular three-snip punctoplasty. BMC Ophthalmol. 2018;18(1):70.
Park, S. J., Noh, J. H., Park, K. B., Jang, S. Y., & Lee, J. W. (2018). A novel surgical technique for punctal stenosis: placement of three interrupted sutures after rectangular three-snip punctoplasty. BMC Ophthalmology, 18(1), p. 70. doi:10.1186/s12886-018-0733-2.
Park SJ, et al. A Novel Surgical Technique for Punctal Stenosis: Placement of Three Interrupted Sutures After Rectangular Three-snip Punctoplasty. BMC Ophthalmol. 2018 Mar 5;18(1):70. PubMed PMID: 29506497.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A novel surgical technique for punctal stenosis: placement of three interrupted sutures after rectangular three-snip punctoplasty. AU - Park,Seong Jun, AU - Noh,Ju Hee, AU - Park,Ki Bum, AU - Jang,Sun Young, AU - Lee,Jong Won, Y1 - 2018/03/05/ PY - 2017/10/16/received PY - 2018/02/27/accepted PY - 2018/3/7/entrez PY - 2018/3/7/pubmed PY - 2018/3/10/medline KW - Punctal stenosis KW - Rectangular three-snip punctoplasty KW - Three interrupted sutures SP - 70 EP - 70 JF - BMC ophthalmology JO - BMC Ophthalmol VL - 18 IS - 1 N2 - BACKGROUND: We developed a novel surgical technique to treat punctal stenosis involving the placement of three interrupted sutures after rectangular three-snip punctoplasty (TSP). METHODS: Retrospective chart review of forty-eight eyes of 44 patients who underwent rectangular TSP with three interrupted sutures was performed. We investigated whether anatomical recurrences (re-stenosis) occurred during the follow-up period. The subjective symptoms of patients were surveyed. RESULTS: The mean patient age was 64.1 years, and the mean follow-up time was 17.4 months. The placement of three interrupted sutures after rectangular TSP afforded satisfactory outcomes. Regarding subjective symptoms, 91.7% of the eyes (44/48) were reported as improved. Among 4 eyes determined as symptomatic failure, anatomical recurrence (re-stenosis of the punctum) was observed in only one eye. The other three (6.25%, 3/48 eyes) showed functional nasolacrimal obstruction, namely epiphora with patent tear duct. CONCLUSIONS: Placement of three interrupted sutures after rectangular TSP to treat punctal stenosis showed promising results. Notably anatomical success rate was about 98%. Further comparisons between the novel surgical technique and conventional techniques are required. SN - 1471-2415 UR - https://www.unboundmedicine.com/medline/citation/29506497/A_novel_surgical_technique_for_punctal_stenosis:_placement_of_three_interrupted_sutures_after_rectangular_three_snip_punctoplasty_ L2 - https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-018-0733-2 DB - PRIME DP - Unbound Medicine ER -