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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


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


Ophthalmology Clinic of İstanbul Training Research Hospital,istanbul,Turkey


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.


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.


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.

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