Comparison of Outcomes of 3-Snip Punctoplasty Versus Simple Punctal Dilatation With Monocanalicular Intubation for Acquired Punctal Stenosis.

@article{Singh2018ComparisonOO,
  title={Comparison of Outcomes of 3-Snip Punctoplasty Versus Simple Punctal Dilatation With Monocanalicular Intubation for Acquired Punctal Stenosis.},
  author={Swati Singh and Mohammad Javed Ali and Ashik Mohamed},
  journal={Ophthalmic plastic and reconstructive surgery},
  year={2018},
  volume={34 4},
  pages={
          375-377
        }
}
PURPOSE To evaluate and compare the outcomes of invasive (rectangular 3-snip punctoplasty) versus minimally invasive (punctal dilatation with monocanalicular intubation) treatment modalities for the management of acquired punctal stenosis. METHODS A retrospective, comparative, interventional case series was performed on 60 eyes of 36 patients with acquired punctal stenosis. Patients were categorized in 2 groups based on the intervention as 3-snip punctoplasty (group A) and punctal dilatation… 
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Simple punctal dilation followed by insertion of a mini-monoka stent is effective in alleviating the symptoms of punctal stenosis-related epiphora, with no added benefit when the more invasive Kelly punch-assisted punctoplasty was used, raising some doubt about its justification in these cases.
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Perforated punctal plugs and three-snip punctoplasty are safe and effective in treatment of punctal stenosis, however, perforated plugs are less invasive, better tolerated, and have more stable results compared to three- Snip punctplasty.
An audit of 3-snip procedures performed at the Aga Khan University Hospital, Karachi, Pakistan.
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Three-snip punctoplasty was found to be a minimally invasive procedure with good functional outcome that was comparable to other procedures.
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Congenital, acquired, and iatrogenic causes of punctal disorders are outlined, with surgical management highlighted for the most common conditions that distort the structure and function of the lacrimal puncta.
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