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Long-term success rate of perforated punctal plugs in the management of acquired punctal stenosis: measurement of tear meniscus height by optical coherence tomography

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Session Details

Session Title: Presented Poster Session: Dry Eye and Inflammation

Session Date/Time: Monday 07/09/2015 | 15:00-16:30

Paper Time: 15:20

Venue: Poster Village: Pod 3

First Author: : F.Esin Ozdemir TURKEY

Co Author(s): :    F. Nuhoglu   T. Alpar Akcetin   K. Eltutar        

Abstract Details


To give the long-term success rates of punctal dilatation with insertion of perforated punctal plugs (PPP) for the management of acquired punctal stenosis.


Departmant of Ophthalmology, Istanbul education research hospital


The medical charts of patients who underwent PPP implantation for the management of acquired punctal stenosis were retrospectively evaluated. Before surgery and at 1 and 6 months after surgery, subjective evaluation of tearing was assessed using Munk scores. The size of the punctum was graded based on slit-lamp examination, and measurement of tear meniscus height was done using optical coherence tomography. In all patients, punctal dilation was performed prior to the insertion of plugs.


A total of 43 eyes (26 patients) were studied.The subjective epiphora score was significantly reduced after surgery and maintained until 6 months after the surgery (2 for trend test, P < .001). The mean preoperative tear height (453.2 ± 251.3 µm) was significantly reduced both at 2 month after surgery (352.3 ± 221.7 µ m; P =0 .003, paired t test ) and at 6months after surgery (376.2 ±215.4 µ m; P = 0.004, paired t test . The functional success rate was 72.1% and anatomic success rate was 81.4 % at 6 months after surgery.


PPP implantation was an anatomically and functionally effective procedure for severe punctal stenosis patients, maintaining large puncta for fairly long periods.

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