Prevalence and associated factors of external punctal stenosis among elderly patients in Turkey

Ulusoy, Mahmut Oğuz; Atakan, Mehmet; Kıvanç, Sertaç Argun

doi:10.5935/0004-2749.20170072

Cited by 10 publications

(14 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Sixty-seven percent of our cases were above 50 years of age, with a mean ± SD age of 54.7 ± 12.6 years. Old age has been described as a causative factor for EPS in many studies, and involutional and fibrotic changes associated with aging are thought to be the causative mechanisms [1,3,7,12]. Although we reported a high prevalence among older age groups, our prevalence estimates differ from those of other studies, which reported prevalence ratios ranging from only 1% in patients aged 40-49 years to > 50% in older patients [1,3,13].…”

Section: Discussioncontrasting

confidence: 99%

See 1 more Smart Citation

Acquired symptomatic external punctal stenosis: A tertiary referral center study

Nassief¹,

Alduwailah²,

Lotfy³

2021

Med Hypothesis Discov Innov Ophthalmol

View full text Add to dashboard Cite

Background: To report the prevalence of acquired symptomatic external punctal stenosis (EPS) in a tertiary referral center in Kuwait, and to study the associated risk factors, etiologies, and management outcomes. Methods: This prospective interventional hospital-based study was performed at the Farwaniya governmental hospital in Kuwait between November 2018 and November 2019. All patients were referred to the oculoplastic clinic with symptomatic epiphora, age > 18 years, epiphora Munk score ≥ 0, tear film meniscus ≥ 2 mm, and punctum with grade ≤ 2 (smaller than normal size, but recognizable EPS) were included. Exclusion criteria were congenital causes of epiphora, previous eyelid surgeries, and traumatic or neoplastic causes of punctal or canalicular obstruction. Results: A total of 418 patients with symptomatic epiphora, who were referred to our oculoplastic clinic, were enrolled in our study. The prevalence of EPS was 70.3%. Examination of the puncta revealed different shapes, including tangential, pinpoint, elevated, slit-shaped, horse shoe-shaped, and membranous puncta, with the tangential type accounting for the greatest proportion (65.3%). Bilateral punctal stenosis was observed in 206 patients (70.1%) and unilateral involvement in 88 patients (29.9%). Dilatation and syringing were performed for all puncta upon diagnosis, and repeated dilatation was performed for 225 puncta (32.7%). Placement of a Mini-Monoka tube was performed in 11 puncta (1.6%). Conclusions: EPS was a common cause of symptomatic epiphora in our study. Aging and female sex were identified as common risk factors. Most etiological factors of EPS were associated with a pathophysiological inflammatory mechanism. For exact estimates of its prevalence, a population-based study is necessary in future. Keywords: punctal stenosis, dry eye, chronic blepharitis, Mini Monoka, Kuwait, prevalence, epiphora

show abstract

Section: Discussioncontrasting

confidence: 99%

“…The prevalence of EPS has been estimated to range between 17.3% and 54.3% [1,7]. A recent study conducted in Turkey revealed a prevalence of EPS among the older population of 63.3% [12]. However, these prevalence estimates represented all cases of EPS, irrespective of whether they were symptomatic or asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Acquired symptomatic external punctal stenosis: A tertiary referral center study

Nassief¹,

Alduwailah²,

Lotfy³

2021

Med Hypothesis Discov Innov Ophthalmol

View full text Add to dashboard Cite

show abstract

“…Yaşlanma ile dokulardaki atrofi, yoğun fibröz yapının esnemesine ve etrafını saran Horner kas liflerinin atonisine; bu da PS'na yol açmaktadır [12]. PS tanısı alan kişilerin yaş ortalaması 60'ın üzerindedir [2,4,8,10]. [16][17][18].…”

Section: Etyolojiunclassified

“…Oküloplasti kliniklerine epifora nedeniyle sevk edilen hastalara dayalı çalışmalarda ise insidans değişkenlik gösterir (%8-%37,8) [2,3]. Altmış beş yaş üstü popülasyonda prevalansın daha yüksek olduğu görülmektedir (%63,32) [4]. Bu derlemede akkiz PS'nun nedenleri, klinik yaklaşım ve tedavi seçenekleri incelenecektir.…”

unclassified

Akkiz punktum stenozunda tanı, etyoloji ve tedavi seçenekleri

Ilhan¹

2020

Pamukkale Medical Journal

View full text Add to dashboard Cite

Makale bilim dalı: Göz Hastalıkları Başlık: Akkiz punktum stenozunda tanı, etyoloji ve tedavi seçenekleri. Kısa başlık: Akkiz punktum stenozu. Özet: Punktum stenozu, önemli bir epifora nedenidir. Konjenital olabilse de daha çok akkiz görülen, kanalikülün eksternal açıklığının daralmasıdır. Punktum açıklığı, tam tıkanıklığa kadar farklı genişliklerde ve şekillerde görülebilir. İdiyopatik ve involüsyonel başta olmak üzere kronik enflamatuar sürece yol açan lokal ve sistemik enflamatuar hastalıklar, kapak malformasyonları, topikal ve sistemik ilaç kullanımı ve enfeksiyonlara bağlı olarak punktum stenozu gelişmektedir. Punktum stenozunun tedavisinde, kanalikülün proksimali ve eksternal açıklığın genişletilmesine yönelik Snip ampulloplasti, Panç ampulloplasti ve genişliğin devamının sağlanması amacıyla delikli punktum tıkaçları, stent kullanımları gibi etkili olduğu gösterilen minimal cerrahi yöntemler uygulanmaktadır. Hastaların önemli bölümü başarılı bir şekilde tedavi edilse de, bazı hastalarda punktum stenozunun tekrarladığı görülmektedir. Akkiz punktum stenozunun nedenlerinin, klinik yaklaşım ve tedavi seçeneklerinin bilinmesi bu patoloji nedenli epiforanın tedavisinde başarı için gereklidir.

show abstract

“…Epiphora is one of the most mentioned symptoms by patients that apply to the ophthalmology departments with a wide range of differential diagnosis. External lacrimal punctal stenosis is one of the causes of epiphora [1]. Anatomically, acquired punctal stenosis is a condition in which the external opening of the lacrimal canaliculus, located in the nasal part of the palpebral margin, is narrowed or occluded [2].…”

Section: Introductionmentioning

confidence: 99%

A modified method for punctoplasty: “Excisional punctoplasty with the guidance of a 27 G Rycroft cannula”

Temizsoylu¹,

Şahin²,

Koçkar³

et al. 2019

Journal of Surgery and Medicine

View full text Add to dashboard Cite

show abstract

Prevalence and associated factors of external punctal stenosis among elderly patients in Turkey

Cited by 10 publications

References 0 publications

Acquired symptomatic external punctal stenosis: A tertiary referral center study

Acquired symptomatic external punctal stenosis: A tertiary referral center study

Akkiz punktum stenozunda tanı, etyoloji ve tedavi seçenekleri

A modified method for punctoplasty: “Excisional punctoplasty with the guidance of a 27 G Rycroft cannula”

Contact Info

Product

Resources

About