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Ozgur OR, Akcay L, Tutas N, et al. Management of acquired punctal stenosis with perforated punctal plugs. Saudi J Ophthalmol. 2015;29(3):205-9doi: 10.1016/j.sjopt.2015.04.001.
Ozgur, O. R., Akcay, L., Tutas, N., & Karadag, O. (2015). Management of acquired punctal stenosis with perforated punctal plugs. Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society, 29(3), 205-9. https://doi.org/10.1016/j.sjopt.2015.04.001
Ozgur, Ozlen Rodop, et al. "Management of acquired punctal stenosis with perforated punctal plugs." Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society vol. 29,3 (2015): 205-9. doi: https://doi.org/10.1016/j.sjopt.2015.04.001
Ozgur OR, Akcay L, Tutas N, Karadag O. Management of acquired punctal stenosis with perforated punctal plugs. Saudi J Ophthalmol. 2015 Jul-Sep;29(3):205-9. doi: 10.1016/j.sjopt.2015.04.001. Epub 2015 May 12. PMID: 26155080; PMCID: PMC4487946.
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Saudi J Ophthalmol. 2015 Jul-Sep;29(3):205-9. doi: 10.1016/j.sjopt.2015.04.001. Epub 2015 May 12.

Management of acquired punctal stenosis with perforated punctal plugs.

Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society

Ozlen Rodop Ozgur, Levent Akcay, Nesrin Tutas, Onur Karadag

Affiliations

  1. Dr. Lutfi Kirdar Kartal Training and Research Hospital, Eye Clinic, Istanbul.

PMID: 26155080 PMCID: PMC4487946 DOI: 10.1016/j.sjopt.2015.04.001

Abstract

PURPOSE: To evaluate the efficiency of perforated punctal plug in acquired punctal stenosis.

MATERIALS AND METHODS: Forty-five eyes of 33 patients who had epiphora due to punctal stenosis were included in this study. After biomicroscopic examination and lacrimal dilatation punctal stenosis was managed with the perforated punctal plugs in all patients. In the following period epiphora, plug tolerance, lacrimal drainage were evaluated and graded. Lacrimal drainage was evaluated with fluorescein dye disappearing test.

RESULTS: The age of the patients ranged between 31 and 80 (mean 55.78 ± 13.11). Preoperatively punctal dilatation and lacrimal system irrigations were performed on all patients. Lacrimal system irrigation was positive in all patients. Perforated punctal plugs were placed in the inferior puncti in all patients. The plugs were explanted 6 months after operation. The follow-up period ranged between 6 and 24 months. Plug tolerance was good in 97.8% of the eyes in the 1st month visit. Epiphora decreased remarkably in 88.9% of the patients 1 month after plug implantation, except one whose plug dropped off spontaneously in 2 weeks. Fluorescein disappearing times were found under 3 min in 97.8% of the eyes after plug explanations.

CONCLUSION: Punctum stenosis is one of the several disorders that cause lacrimal drainage obstruction. Perforated punctal plugs are found convenient and effective in managing punctal stenosis.

Keywords: Epiphora; Perforated plug; Punctal stenosis

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