Acquired external punctal stenosis: etiology and associated findings

Kashkouli, Mohsen Bahmani; Beigi, Bijan; Murthy, Rachna; Astbury, Nick

doi:10.1016/s0002-9394(03)00664-0

Cited by 124 publications

(137 citation statements)

References 20 publications

Supporting

Mentioning

108

Contrasting

Unclassified

Order By: Relevance

“…1 The etiopathogenesis remains elusive but is attributed to a common mechanism of chronic inflammation resulting in fibrosis and subsequent stenosis. [2][3][4] In order to facilitate uniform protocols of assessment, Kashkouli et al 4,5 proposed a grading system for the puncta based on its size and shape. However, there are no uniform acceptable guidelines for the management of punctal stenosis.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of rectangular 3-snip punctoplasty in acquired punctal stenosis: is there a need to be minimally invasive?

Ali

Ayyar

Naik

2015

Eye

View full text Add to dashboard Cite

Aim To report the clinical profiles of acquired punctal stenosis and outcomes with rectangular 3-snip punctoplasty. Methods Retrospective chart review of all patients who underwent rectangular 3-snip punctoplasty, over a 3-year period from a single surgeon's (MJA) database was performed. Data retrieved include demographics, symptomatology, prior interventions, grades of punctal stenosis, associated ocular findings, and outcomes. A minimum follow-up of 6 months following punctoplasty was considered for analysis. Success was defined as clearance of dye on functional dye disappearance test and resolution of symptoms. Results One hundred and forty five puncta of 87 eyes of 56 patients were studied. The mean age at presentations was 52 years. Puncta (71.7%; 104/145) were of grade 2 size. Epiphora was the commonest presenting symptom noted in 94.3% (82/87) of the eyes. At a minimum follow-up of 6 months, complete resolution of symptoms was achieved in 74.7% (65/87) of eyes. Eight out of 87 eyes (9.1%) failed to show any improvement secondary to lacrimal obstructions distal to the puncta. Five out of 87 (5.7%) eyes showed punctal restenosis whereas 10.3% (9/87) of the eyes had functional epiphora post punctoplasty. Conclusion Puncta of grade 2 size were the most common in this series. Although rectangular 3-snip punctoplasty is an effective and safe procedure for majority of grades 1 and 2 of acquired punctal stenosis, a higher percentages of functional epiphora and punctal restenosis in the remaining patients should propel further investigations into developing nonincisional, minimally invasive alternatives.

show abstract

Section: Introductionmentioning

confidence: 99%

Outcomes of rectangular 3-snip punctoplasty in acquired punctal stenosis: is there a need to be minimally invasive?

Ali

Ayyar

Naik

2015

Eye

View full text Add to dashboard Cite

show abstract

“…Moreover, we demonstrated an association of canalicular and especially internal punctal stenosis in more than 45% of patients with acquired external punctal stenosis (AEPS). 5 To address this and also restenosis, a one-snip punctoplasty and mini Monoka tube insertion was proposed (Kashkouli MB, Beigi B, Astbury N. Acquired External Punctal Stenosis, surgical management and long-term follow-up. Orbit, in press, OR050, P03).…”

Section: Sir 3-snip Punctoplastymentioning

confidence: 99%

“…We, however, found chronic blepharitis (44.9%), involutional changes (26.9%), ectropion (23.1%), systemic chemotherapy (1.2%), and antiglaucoma drops (3.6%) as the underlying causes in our series of 78 eyes with AEPS. 5 Caesar and McNab used a simple clinical test for diagnosis of punctal stenosis without considering the severity of stenosis among different cases. 1 There is a proposed grading system for external punctal stenosis (grades 0-2) and slit punctum (grades 4 and 5) 5 based on slit-lamp examination and the way to enter a #00 Bowman probe.…”

Section: Sir 3-snip Punctoplastymentioning

confidence: 99%

“…5 Caesar and McNab used a simple clinical test for diagnosis of punctal stenosis without considering the severity of stenosis among different cases. 1 There is a proposed grading system for external punctal stenosis (grades 0-2) and slit punctum (grades 4 and 5) 5 based on slit-lamp examination and the way to enter a #00 Bowman probe. This grading system is very helpful in assessing pre-and postoperative state of a stenotic punctum (Kashkouli MB, Beigi B, Astbury N. Acquired External Punctal Stenosis, surgical management and long-term follow-up.…”

Section: Sir 3-snip Punctoplastymentioning

confidence: 99%

See 1 more Smart Citation

3-Snip punctoplasty

Kashkouli

2005

Eye

View full text Add to dashboard Cite

“…A literatura sobre o assunto é escassa e suas causas ainda permanecem obscuras (1) . O objetivo desse trabalho é fazer uma breve aná-lise da literatura existente, relatar o seu quadro clínico, demonstrar como é realizado o seu diagnóstico, assim como o seu manejo clínico.…”

Section: Introductionunclassified

Estenose adquirida do ponto lacrimal: conduta

Macedo

Carneiro

Matayoshi

2007

Rev. bras.oftalmol.

View full text Add to dashboard Cite

RESUMOA estenose do ponto lacrimal é uma causa comum de epífora sintomática e freqüentemente seu diagnóstico é comprometido pela falta de familiaridade do oftalmologista com tal afecção. A literatura sobre o assunto é escassa e suas causas ainda permanecem obscuras. O objetivo desse trabalho é fazer uma breve análise da literatura existente, relatar o seu quadro clínico, demonstrar como é realizado o seu diagnós-tico, assim como o seu manejo clínico. O tratamento ambulatorial, quando conduzido adequadamente, pode trazer um excelente resultado, conforme demonstrado nesse caso.Descritores: Constrição patológica; Doenças do aparelho lacrimal/terapia; Obstrução dos ductos lacrimais; Relatos de casos [Tipo de publicação].

show abstract

Acquired external punctal stenosis: etiology and associated findings

Cited by 124 publications

References 20 publications

Outcomes of rectangular 3-snip punctoplasty in acquired punctal stenosis: is there a need to be minimally invasive?

Outcomes of rectangular 3-snip punctoplasty in acquired punctal stenosis: is there a need to be minimally invasive?

3-Snip punctoplasty

Estenose adquirida do ponto lacrimal: conduta

Contact Info

Product

Resources

About