Prevalence and Determinants of Punctal Occlusion at Ophthalmology Outpatient Clinic at Tanta University Hospital
Journal of Advances in Medicine and Medical Research,
Background: Along with canalicular or nasolacrimal duct blockage, punctum stenosis is one of the most common causes of epiphora. The purpose of the study was to investigate the prevalence of punctal occlusion outlining their presentation varieties and etiological factors.
Methods: This cross-section observational study conducted on 50 patient suffering from epiphora. Patients were divided into two groups: single cause(N=19) and combination of causes (N=31). Every patient underwent: taking of the history, examination (examination of the eyelids, lid closure and lagophthalmos), evaluation of the punctum (by usage slit light for visibility, appearance and the occurrence of inflammation or oedema). Schirmer, I test used for ocular surface examination.
Results: Occlusion was significantly higher in single cause than combination of causes while stenosis was significantly lower in single cause than combination of causes groups. Grades of stenosis were significantly different between the two groups. Schirmer test, lower tear meniscus height, and side of lesion were insignificantly different between study groups.
Conclusions: Punctal stenosis was an extremely frequent finding in individuals suffering from epiphora. Age tended to augment the prevalence of punctal stenosis, and many patients accompanied by post-cataract surgery combined with blepharitis then topical anti-glaucoma eye drops with recurrent conjunctivitis were most common association with punctal stenosis patients who had combination of causes.
- Punctal occlusion
- lacrimal punctum
- Punctal stenosis
- lacrimal drainage system
How to Cite
Kashkouli MB, Beigi B, Astbury N. Acquired external punctal stenosis: surgical management and long-term follow-up. Orbit. 2005;24:73-8.
Soiberman U, Kakizaki H, Selva D, Leibovitch I. Punctal stenosis: definition, diagnosis, and treatment. Clin Ophthalmol. 2012;6:1011-8.
Mansur C, Pfeiffer ML, Esmaeli B. Evaluation and Management of Chemotherapy-Induced Epiphora, Punctal and Canalicular Stenosis, and Nasolacrimal Duct Obstruction. Ophthalmic Plast Reconstr Surg. 2017;33:9-12.
Esmaeli B, Golio D, Lubecki L, Ajani J. Canalicular and nasolacrimal duct blockage: an ocular side effect associated with the antineoplastic drug S-1. Am J Ophthalmol. 2005;140:325-7.
Ma'luf RN, Hamush NG, Awwad ST, Noureddin BN. Mitomycin C as adjunct therapy in correcting punctal stenosis. Ophthalmic Plast Reconstr Surg. 2002;18:285-8.
Konuk O, Urgancioglu B, Unal M. Long-term success rate of perforated punctal plugs in the management of acquired punctal stenosis. Ophthalmic Plast Reconstr Surg. 2008;24:399- 402.
Schmid KE, Kornek GV, Scheithauer W, Binder S. Update on ocular complications of systemic cancer chemotherapy. Surv Ophthalmol. 2006;51:19-40.
Bukhari A. Prevalence of punctal stenosis among ophthalmology patients. Middle East Afr J Ophthalmol. 2009;16:85-7.
Kim SE, Lee SJ, Lee SY, Yoon JS. Outcomes of 4-snip punctoplasty for severe punctal stenosis: measurement of tear meniscus height by optical coherence tomography. Am J Ophthalmol. 2012;153:769-73.
Hur MC, Jin SW, Roh MS, Jeong WJ, Ryu WY, Kwon YH, et al. Classification of Lacrimal Punctal Stenosis and Its Related Histopathological Feature in Patients with Epiphora. Korean J Ophthalmol. 2017;31:375-82.
Viso E, Rodríguez-Ares MT, Gude F. Prevalence and associations of external punctal stenosis in a general population in Spain. Cornea. 2012;31:1240- 5.
Liu D, Sadhan Y. Surgical punctal occlusion: a prospective study. Br J Ophthalmol. 2002;86:1031-4.
Kristan RW. Treatment of lacrimal punctal stenosis with a one-snip canaliculotomy and temporary punctal plugs. Arch Ophthalmol. 1988;106:878-9.
Ozgur OR, Akcay L, Tutas N, Karadag O. Management of acquired punctal stenosis with perforated punctal plugs. Saudi J Ophthalmol. 2015;29:205-9.
Mandour SS, Said-Ahmed KE, Khairy HA, Elsawy MF, Zaky MA. A simple surgical approach for the management of acquired severe lower punctal stenosis. J Ophthalmol. 2019;2019:853-7.
Tamer SS, Abdelghany AA, Elshafei AM, Abdelrahman Abdallah RM. Three-snip punctoplasty versus perforated plugs for management of lacrimal punctal stenosis. Eur J Ophthalmol. 2021;31:796-803.
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