Punctoplasty

Ashley Crane, Benjamin Erickson, Wendy Lee

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Patients should be evaluated and deemed appropriate for such surgical intervention. Patients with isolated punctal stenosis resulting in excessive tearing, or epiphora, can be considered as candidates for this procedure. The procedure is typically performed on the lower eyelid puncta. The distal lacrimal drainage apparatus must be intact. Patients should be educated about the risks and benefits of the procedure, including alternatives. Schirmer test should be performed because real cause of epiphora may be unrecognized reflex hypersecretion from ocular surface disease. Those with prior failed punctoplasty, ongoing inflammatory process, or an element of canalicular stenosis should be considered for concomitant nasolacrimal stenting procedures.

Original languageEnglish (US)
Title of host publicationOperative Dictations in Ophthalmology
PublisherSpringer International Publishing
Pages585-587
Number of pages3
ISBN (Electronic)9783319454955
ISBN (Print)9783319454948
DOIs
StatePublished - Apr 24 2017

Keywords

  • Epiphora
  • Punctal stenosis
  • Punctoplasty
  • Tearing
  • Three-snip punctoplasty

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Crane, A., Erickson, B., & Lee, W. (2017). Punctoplasty. In Operative Dictations in Ophthalmology (pp. 585-587). Springer International Publishing. https://doi.org/10.1007/978-3-319-45495-5_137