A Simple Surgical Approach for the Management of Acquired Severe Lower Punctal Stenosis
Joint Authors
Mandour, Sameh S.
Said-Ahmed, Khaled E.
Khairy, Hany A.
Elsawy, Moataz F.
Zaky, Marwa A.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-01-14
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1185457