Long-term success rate of perforated punctal plugs in the management of acquired punctal stenosis: measurement of tear meniscus height by optical coherence tomography

Session Details

Session Title: Presented Poster Session: Dry Eye and Inflammation

Session Date/Time: Monday 07/09/2015 | 15:00-16:30

Paper Time: 15:20

Venue: Poster Village: Pod 3

First Author: : F.Esin Ozdemir TURKEY

Co Author(s): :    F. Nuhoglu   T. Alpar Akcetin   K. Eltutar        

Abstract Details

Purpose:

To give the long-term success rates of punctal dilatation with insertion of perforated punctal plugs (PPP) for the management of acquired punctal stenosis.

Setting:

Departmant of Ophthalmology, Istanbul education research hospital

Methods:

The medical charts of patients who underwent PPP implantation for the management of acquired punctal stenosis were retrospectively evaluated. Before surgery and at 1 and 6 months after surgery, subjective evaluation of tearing was assessed using Munk scores. The size of the punctum was graded based on slit-lamp examination, and measurement of tear meniscus height was done using optical coherence tomography. In all patients, punctal dilation was performed prior to the insertion of plugs.

Results:

A total of 43 eyes (26 patients) were studied.The subjective epiphora score was significantly reduced after surgery and maintained until 6 months after the surgery (2 for trend test, P < .001). The mean preoperative tear height (453.2 ± 251.3 µm) was significantly reduced both at 2 month after surgery (352.3 ± 221.7 µ m; P =0 .003, paired t test ) and at 6months after surgery (376.2 ±215.4 µ m; P = 0.004, paired t test . The functional success rate was 72.1% and anatomic success rate was 81.4 % at 6 months after surgery.

Conclusions:

PPP implantation was an anatomically and functionally effective procedure for severe punctal stenosis patients, maintaining large puncta for fairly long periods.

Financial Interest:

NONE