Use of mini-monoka stents for punctal/canalicular stenosis
| Autor: | H Kanani, R N Hussain, T McMullan |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Dacryocystorhinostomy Silicones Lacrimal gland Cellular and Molecular Neuroscience medicine Humans Intubation Retrospective Studies business.industry Eyelids Retrospective cohort study medicine.disease Comorbidity eye diseases Sensory Systems Surgery Ophthalmology Stenosis Treatment Outcome medicine.anatomical_structure Tears Stents Radiology business Nasolacrimal Duct Ophthalmologic Surgical Procedure |
| Zdroj: | British Journal of Ophthalmology. 96:671-673 |
| ISSN: | 1468-2079 0007-1161 |
| Popis: | Background Proximal lacrimal system stenosis may cause debilitating epiphora and recurrent ocular infections. Mini-monoka stents are primarily used in the management of canalicular lacerations. Evidence regarding their use to treat punctal/canalicular stenosis is sparse. Compared with dacryocystorhinostomy, a punctocanaliculoplasty with mini-monoka stenting is quicker, less invasive with reduced postoperative complications/recovery time. Aims To assess the effectiveness of mini-monoka punctocanaliculoplasty for treatment of punctal/canalicular stenosis. Methods A retrospective case note analysis was performed on 77 consecutive patients (123 eyes). Results 73% of eyes had punctal stenosis, 72% had canalicular stenosis; 46% had a combination of the above. 20% had some degree of lid laxity and 29% had nasolacrimal duct stenosis. 101 eyes (82%) had significant improvement in symptoms and were discharged without further intervention. Excluding the patients with structural comorbidity the success rate improved to 88%. Conclusions Mini-monoka punctocanaliculoplasty is an effective, safe, simple and relatively non-invasive treatment strategy for the management of epiphora secondary to punctal and/or canalicular stenosis. |
| Databáze: | OpenAIRE |
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