J Korean Ophthalmol Soc.  2012 Dec;53(12):1727-1731. 10.3341/jkos.2012.53.12.1727.

Punctoplasty Using a Radiofrequency Surgical Unit for Punctal Stenosis

Affiliations
  • 1Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
  • 2Oculoplastic Center, Nune Eye Hospital, Seoul, Korea. tsoooo@hanmail.net

Abstract

PURPOSE
To introduce and assess the results of punctoplasty using a radiofrequency surgical unit for punctal stenosis.
METHODS
Patients who complained of epiphora, had an intact lacrimal pathway below puncti, and underwent punctoplasty with the Ellman Surgitron F.F.P.F were evaluated in the present study.
RESULTS
A total of 19 patients (31 eyes) were included in the study. The average age was 55 years (+/-15.7 years). At the last follow-up visit, 27 eyes (87%) had patent puncti, 1 eye became stenotic again, and 3 eyes were completely obstructed. Twenty-two eyes (71%) showed almost complete disappearance of dye on the fluorescein dye-disappearance test (FDDT). Twenty-five eyes (81%) had symptomatic improvement. No significant complication was reported postoperatively.
CONCLUSIONS
Punctoplasty with a radiofrequency surgical unit is a simple and effective method for punctal stenosis.

Keyword

Punctal stenosis; Punctoplasty; Radiofrequency surgical unit

MeSH Terms

Constriction, Pathologic
Eye
Fluorescein
Follow-Up Studies
Humans
Lacrimal Apparatus Diseases
Fluorescein

Figure

  • Figure 1 (A) Intraoperative photograph of widening the punctum with an Ellman probe and (B) widened punctum immediately after surgery.

  • Figure 2 A case of 65-year-old man. (A) Preoperative stenotic punctum is noted. He underwent punctoplasty with radiofrequency surgical unit. (B) After 1 month, widened punctum is noted.

  • Figure 3 FDDT (fluorescein dye disappearance test) before (Left) and 6 months (Right) after punctoplasty. Before punctoplasty, two patients showed residual dye amount of 4+. After punctoplasty with radiofrequency surgical unit, almost no residual dye is found (Top: 58-year-old woman, bottom: 62-year-old man).


Cited by  2 articles

Definition and treatment of lacrimal drainage disease
Jeong Kyu Lee
J Korean Med Assoc. 2017;60(9):727-731.    doi: 10.5124/jkma.2017.60.9.727.

Outcomes of Anterior-Side Rectangular 4-Snip Punctoplasty for Patients with Punctal Stenosis
Eun Joo Kim, Dong Su Shin, Hong Jae Mun, Kyoo Won Lee, Byung Jin Jeong
J Korean Ophthalmol Soc. 2013;54(12):1803-1809.    doi: 10.3341/jkos.2013.54.12.1803.


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