Document Detail


Use of mini-monoka stents for punctal/canalicular stenosis.
MedLine Citation:
PMID:  22241928     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Proximal lacrimal system stenosis may cause debilitating epiphora and recurrent ocular infections. Mini-monoka stents are primarily used in the management of canalicular lacerations. Evidence regarding their use to treat punctal/canalicular stenosis is sparse. Compared with dacryocystorhinostomy, a punctocanaliculoplasty with mini-monoka stenting is quicker, less invasive with reduced postoperative complications/recovery time.
AIMS: To assess the effectiveness of mini-monoka punctocanaliculoplasty for treatment of punctal/canalicular stenosis.
METHODS: A retrospective case note analysis was performed on 77 consecutive patients (123 eyes).
RESULTS: 73% of eyes had punctal stenosis, 72% had canalicular stenosis; 46% had a combination of the above. 20% had some degree of lid laxity and 29% had nasolacrimal duct stenosis. 101 eyes (82%) had significant improvement in symptoms and were discharged without further intervention. Excluding the patients with structural comorbidity the success rate improved to 88%.
CONCLUSIONS: Mini-monoka punctocanaliculoplasty is an effective, safe, simple and relatively non-invasive treatment strategy for the management of epiphora secondary to punctal and/or canalicular stenosis.
Authors:
R N Hussain; H Kanani; T McMullan
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Publication Detail:
Type:  Journal Article     Date:  2012-01-12
Journal Detail:
Title:  The British journal of ophthalmology     Volume:  96     ISSN:  1468-2079     ISO Abbreviation:  Br J Ophthalmol     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-17     Completed Date:  2012-06-06     Revised Date:  2012-11-20    
Medline Journal Info:
Nlm Unique ID:  0421041     Medline TA:  Br J Ophthalmol     Country:  England    
Other Details:
Languages:  eng     Pagination:  671-3     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK. rumanahussain@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Eyelids / surgery*
Humans
Intubation*
Lacrimal Duct Obstruction / surgery*
Nasolacrimal Duct / surgery*
Retrospective Studies
Silicones
Stents*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Silicones
Comments/Corrections
Comment In:
Br J Ophthalmol. 2012 Oct;96(10):1349   [PMID:  22685094 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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