Perforated Punctal Plugs for the Management of Acquired External Punctal Stenosis Original research study

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Published: May 31, 2023
DOI: https://doi.org/10.24292/01.OT.200523.1
Keywords:
acquired punctal stenosis, epiphora, etiology, treatment

Main Article Content

Alan Chamernik
1. Wydział Lekarski, Warszawski Uniwersytet Medyczny. 2. Centrum Medyczne Orbita w Warszawie
Katarzyna Różycka
1. Faculty of Medicine, Lazarski University in Warsaw. 2. Orbita Medical Center in Warsaw
Krystian Bakalarski
1. Faculty of Medicine, Lazarski University in Warsaw. 2. Orbita Medical Center in Warsaw
Radosław Różycki
1. Ophthalmology Clinic, Military Institute of Aviation Medicine, Warsaw. 2. Orbita Medical Center in Warsaw
https://orcid.org/0000-0001-7040-026X

Abstract

The study presents the results of treating patients with pathological tearing caused by acquired external punctal stenosis.


Method: 61 eyes of 34 individuals with an average age of 67 were enrolled in the study. A perforated silicone implants were inserted into the narrowed lacrimal punctums, after pathological tearing had been diagnosed using the Munk test, fluorescein disappearance test, and other parameters. Implants has been removed after 3 months.


Results: Overall, a statistically significant (p < 0.001%) reduction in the fluorescein disappearance test was observed in 93.2% of eyes (n = 55). None of the patients experienced an exacerbation of excessive tearing. The average score on the fluorescein disappearance test decreased from 3.64 before the procedure to 1.42 after the procedure.


Conclusions: Intubation of the lacrimal punctum with perforated silicone implants is a quick, effective, and safe method for treating pathological tearing in cases of acquired narrowing of the lacrimal punctum.

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How to Cite
1.
Chamernik A, Różycka K, Bakalarski K, Różycki R. Perforated Punctal Plugs for the Management of Acquired External Punctal Stenosis. Ophthatherapy [Internet]. 2023May31 [cited 2024May8];10(2):117-25. Available from: https://www.journalsmededu.pl/index.php/ophthatherapy/article/view/2700
Issue
Vol 10 No 2 (2023)
Section
Surgery and laser therapy
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