| Surgical Results of Punctoplasty Using Thermal Vaporization in Patients with Punctual Stenosis. |
|
Jun Sang Park, Tae Soo Lee |
|
Nune Eye Hospital, Seoul, Korea. tsoooo@hanmail.net |
| 눈물점 협착 환자에서 열기화요법을 이용한 눈물점성형술의 결과 |
|
박준상⋅이태수 |
|
누네안과병원 |
Correspondence:
Tae Soo Lee,
Email: tsoooo@hanmail.net
|
|
Received: 28 July 2016 • Revised: 8 November 2016 • Accepted: 21 February 2017 |
| Abstract |
PURPOSE
To evaluate the surgical results of punctoplasty using thermal vaporization in patients with punctual stenosis. METHODS: We retrospectively reviewed the charts of 84 patients who underwent punctoplasty using thermal vaporization via a radiofrequency surgical unit (Ellman surgitron®; Ellman International Inc., Oceanside, NY, USA) from 2012 to 2015. The final surgical results included the success rates, postoperative complications, and punctual size and shape. RESULTS: A total of 123 eyes and 219 puncta of 84 patients were included in this study. The average age was 53.5 years with a mean follow-up period of 32.2 months. Before surgery, the mean punctum diameter was 0.24 mm. After surgery, the mean punctum diameter was 2.59 mm. At last follow-up, 207 puncta (95%) were found to be patent, while 9 puncta (4%) became stenotic again. The anatomic success rate was 95%. During fluorescein dye disappearance tests after surgery, 3 eyes (2.4%) were grade 3, 5 eyes (4%) were grade 2, 3 eyes (2.4%) were grade 1, and 112 eyes (91%) were grade 0. If grades 1 or 0 were defined as functional success, then the functional success rate was 115/123 eyes (93.5%). After punctoplasty, 110 eyes (89.4%) showed no signs of epiphora. However, 5 eyes (4.1%) showed intermittent epiphora and 8 eyes (6.5%) showed persistent epiphora. According to a survey study on tearing, the functional success rate was 115/123 eyes (93.4%). CONCLUSIONS: After punctoplasty using thermal vaporization, high anatomic and functional success rates were achieved, with the two success rates being almost identical. No significant complications were reported postoperatively. |
| Key Words:
Punctoplasty;Punctual stenosis;Thermal vaporization |
|
PDF Links
Full text via DOI
Download Citation
