Comparison of Preoperative and Postoperative Results of "canalicular Triangular Flap" and "triangular Three-snip" Punctoplasty Techniques in Patients with Punctum Stenosis Using Anterior Segment Optical Coherence Tomography

Overview

Journal Indian J Ophthalmol

Specialty Ophthalmology

Date 2024 Sep 19

PMID 39297480

Authors

Elif H L Turkoglu

Arzu T Comez

Mustafa Demir

Affiliations

Soon will be listed here.

Abstract

Purpose: To compare the results and success rates of patients with epiphora due to punctal stenosis operated with the "canalicular triangular flap punctoplasty" and the "triangular three -snip punctoplasty" using anterior segment optical coherence tomography (AS-OCT).

Methods: This study is a retrospective cohort analysis of patients who were diagnosed with punctal stenosis and underwent canalicular triangular flap or triangular three-snip punctoplasty between September 2021 and June 2022.

Results: The study included 80 eyes of 43 patients consisting of 15 males and 28 females. Forty eyes underwent canalicular triangular flap punctoplasty (Group A) and 40 eyes underwent triangular three-snip punctoplasty (Group B) technique. The mean age of the patients was 63.9 ± 10.9 years (37-88 years). In Group A, the anatomic success was 100% and functional success was 95% at 6 months. In Group B, 77.5% functional success and 75% anatomic success were achieved at 6 months.

Conclusions: The canalicular triangular flap technique was more successful in providing punctal patency both anatomically and functionally than the triangular three-snip punctoplasty. AS-OCT is a method that provides objective, quantitative results in the diagnosis and follow-up of punctal stenosis and may be used more widely in punctum and vertical canaliculi pathologies.

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