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Three-snip punctoplasty versus perforated plugs for management of lacrimal punctal stenosis.
Eur J Ophthalmol. 2020 May 19 [Online ahead of print]EJ

Abstract

PURPOSE

To compare rectangular three-snip punctoplasty and polyvinylpyrrolidone-coated perforated punctal plugs for treatment of acquired lacrimal punctal stenosis.

PATIENTS AND METHODS

In a prospective comparative non-randomized interventional study, 80 eyes with acquired lacrimal punctal stenosis were classified into two groups. Group A was treated by insertion of polyvinylpyrrolidone-coated perforated punctal plugs (FCI ophthalmics)™ and Group B was treated by rectangular three-snip punctoplasty. The study was done in Minia University Hospital between January 2018 and April 2019. Exclusion criteria included allergic punctal stenosis, lid malposition, and lacrimal obstruction distal to the punctum. All patients were subjected to complete history taking, slit lamp examination of tear meniscus height, fluorescein dye disappearance test, punctal position, shape, size, grading of stenosis, and grading of epiphora.

RESULTS

The mean age of the patients was 43.85 ± 14.93 years. They were 30 females and 10 males. Eepiphora Grade 3 or 4, improved postoperatively to Grade 0 or 1 in 97.5% of eyes in Group A versus 55% of eyes in Group B. All eyes (100%) in Group A versus 21 eyes (52.5%) in Group B improved regarding fluorescein dye disappearance test grade (p < 0.001). Restenosis did not occur after plug removal, while it occurred in 10% of eyes subjected to three-snip punctoplasty.

CONCLUSION

Perforated punctal plugs and three-snip punctoplasty are safe and effective in treatment of punctal stenosis. However, perforated plugs are less invasive, better tolerated, and have more stable results compared to three-snip punctoplasty.

Authors+Show Affiliations

Ophthalmology Department, Minia University, Minya, Egypt.Ophthalmology Department, Minia University, Minya, Egypt.Ophthalmology Department, Minia University, Minya, Egypt.Ophthalmology Department, Minia University, Minya, Egypt.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32429697

Citation

Tamer, Salma S., et al. "Three-snip Punctoplasty Versus Perforated Plugs for Management of Lacrimal Punctal Stenosis." European Journal of Ophthalmology, 2020, p. 1120672120925035.
Tamer SS, Abdelghany AA, Elshafei AM, et al. Three-snip punctoplasty versus perforated plugs for management of lacrimal punctal stenosis. Eur J Ophthalmol. 2020.
Tamer, S. S., Abdelghany, A. A., Elshafei, A. M., & Abdelrahman Abdallah, R. M. (2020). Three-snip punctoplasty versus perforated plugs for management of lacrimal punctal stenosis. European Journal of Ophthalmology, 1120672120925035. https://doi.org/10.1177/1120672120925035
Tamer SS, et al. Three-snip Punctoplasty Versus Perforated Plugs for Management of Lacrimal Punctal Stenosis. Eur J Ophthalmol. 2020 May 19;1120672120925035. PubMed PMID: 32429697.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Three-snip punctoplasty versus perforated plugs for management of lacrimal punctal stenosis. AU - Tamer,Salma S, AU - Abdelghany,Ahmed A, AU - Elshafei,Ahmed Mk, AU - Abdelrahman Abdallah,Raafat Mohyeldeen, Y1 - 2020/05/19/ PY - 2020/5/21/pubmed PY - 2020/5/21/medline PY - 2020/5/21/entrez KW - Punctal stenosis KW - coated plugs KW - epiphora KW - perforated plugs SP - 1120672120925035 EP - 1120672120925035 JF - European journal of ophthalmology JO - Eur J Ophthalmol N2 - PURPOSE: To compare rectangular three-snip punctoplasty and polyvinylpyrrolidone-coated perforated punctal plugs for treatment of acquired lacrimal punctal stenosis. PATIENTS AND METHODS: In a prospective comparative non-randomized interventional study, 80 eyes with acquired lacrimal punctal stenosis were classified into two groups. Group A was treated by insertion of polyvinylpyrrolidone-coated perforated punctal plugs (FCI ophthalmics)™ and Group B was treated by rectangular three-snip punctoplasty. The study was done in Minia University Hospital between January 2018 and April 2019. Exclusion criteria included allergic punctal stenosis, lid malposition, and lacrimal obstruction distal to the punctum. All patients were subjected to complete history taking, slit lamp examination of tear meniscus height, fluorescein dye disappearance test, punctal position, shape, size, grading of stenosis, and grading of epiphora. RESULTS: The mean age of the patients was 43.85 ± 14.93 years. They were 30 females and 10 males. Eepiphora Grade 3 or 4, improved postoperatively to Grade 0 or 1 in 97.5% of eyes in Group A versus 55% of eyes in Group B. All eyes (100%) in Group A versus 21 eyes (52.5%) in Group B improved regarding fluorescein dye disappearance test grade (p < 0.001). Restenosis did not occur after plug removal, while it occurred in 10% of eyes subjected to three-snip punctoplasty. CONCLUSION: Perforated punctal plugs and three-snip punctoplasty are safe and effective in treatment of punctal stenosis. However, perforated plugs are less invasive, better tolerated, and have more stable results compared to three-snip punctoplasty. SN - 1724-6016 UR - https://www.unboundmedicine.com/medline/citation/32429697/Three_snip_punctoplasty_versus_perforated_plugs_for_management_of_lacrimal_punctal_stenosis_ L2 - https://journals.sagepub.com/doi/10.1177/1120672120925035?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -
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