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Comparison long term results of perforated punctal plugs and 3-snip punctoplasty surgery in the management of acquired punctal stenosis

Poster Details

First Author: F.Esın Ozdemır TURKEY

Co Author(s):    F. Nuhoglu   K. Eltutar           

Abstract Details

Purpose:

To compare the anatomical and functional success rates of PPP and 3-snip punctoplasty surgery performed in patients with acquired punctal stenosis.

Setting:

Ophthalmology Clinic of İstanbul Training Research Hospital,istanbul,Turkey

Methods:

The patients were subjectively evaluated for epiphora with the Munk scale. The patients were objectively evaluated for punctal stenosis Grading External Lacrimal Punctum ( ELP) .Inclusion criteria; ELP grade 1,2 and Munk score 3,4,5 . Exclusion criteria; Canalicular stenosis, nasolacrimal duct obstruction, punctal malposition, punctal atresia, lid laxity, entropion and lid surgery in history or lacrimal surgery and less than 6 months follow-up . Anatomic success was defined according to the punctum opening. Punctum opening ELP in accordance grade 3 , 4, 5 patients were considered anatomically successful. According to Munk score 0 or 1, which were considered functionally successful.

Results:

A series of 58 eyes of 36 patients PPP implantation and 63 eyes of 39 patients who underwent 3-Snip punctoplasty surgery for the management of acquired punctal stenosis. In 58 eyes of 41 in the PPP group (70.7%) was achieved functional success. In the PPP group 58 of the eye 49 (84.5%) were anatomically successful. 3-snip punctoplasty was set at 63 and 56 (88.9%) was achieved functional success. 3-snip punctoplasty groups of 63 eyes of eye 58 (92.1%) were anatomically successful.

Conclusions:

PPP techniques in the treatment of acquired punctal stenosis and 3-snip technique are effective methods to long term. Is a non-invasive interventions and surgery is not required technical advantages of the PPP. Additional cost is to bring the benefits of a 3-sniper techniques. In terms of anatomical and functional success was no statistically significant difference between the 2 groups.

Financial Disclosure:

NONE

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