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A Simple Surgical Approach for the Management of Acquired Severe Lower Punctal Stenosis
المؤلفون المشاركون
Mandour, Sameh S.
Said-Ahmed, Khaled E.
Khairy, Hany A.
Elsawy, Moataz F.
Zaky, Marwa A.
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-01-14
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Purpose.
Evaluation of using pigtail probe to detect and open severely stenosed lower lacrimal punctum followed by self-retaining bicanalicular intubation.
Study design.
A prospective nonrandomized clinical study.
Methods.
The study included 24 patients with severe lower punctal stenosis (grade 0 according to Kashkouli scale) attending at Menoufia University Hospitals.
The upper punctum and canaliculus were patent.
All patients were complaining of epiphora and had a thorough ophthalmological examination including dye disappearance test and slit-lamp examination.
Pigtail probe was used from patent upper punctum to detect the lower stenosed punctum which was opened with a scalpel.
Syringing of the lower lacrimal passages was done to confirm its patency, and self-retaining silicone bicanalicular stent was inserted.
The silicone tube was left in place for 6 months before it was removed.
Patients were then followed-up for 1 year after the surgery.
Results.
One year after surgery, epiphora was absent (grade 0) in 16 eyes (66.7%) and was present only occasionally (grade 1) in 4 eyes (16.7%).
The difference from preoperative epiphora was statistically significant.
One year after surgery, fluorescein dye disappearance time was grade 1 (<3 minutes) in 20 cases (83.3%), and grade 2 (3–5 minutes) in 4 cases (16.7%).
There was a statistically significant difference compared with preoperative results.
Conclusion.
Using the pigtail probe is effective in treatment of severe punctal stenosis.
Maintaining the punctal opening and prevention of restenosis can be achieved by using self-retaining bicanalicular stent after confirmation of nasolacrimal duct patency.
This trial is registered with NCT03731143.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Mandour, Sameh S.& Said-Ahmed, Khaled E.& Khairy, Hany A.& Elsawy, Moataz F.& Zaky, Marwa A.. 2019. A Simple Surgical Approach for the Management of Acquired Severe Lower Punctal Stenosis. Journal of Ophthalmology،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1185457
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Mandour, Sameh S.…[et al.]. A Simple Surgical Approach for the Management of Acquired Severe Lower Punctal Stenosis. Journal of Ophthalmology No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1185457
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Mandour, Sameh S.& Said-Ahmed, Khaled E.& Khairy, Hany A.& Elsawy, Moataz F.& Zaky, Marwa A.. A Simple Surgical Approach for the Management of Acquired Severe Lower Punctal Stenosis. Journal of Ophthalmology. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1185457
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1185457
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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