Treatment of upper and lower lacrimal punctal occlusion using retrograde canaliculotomy and punctoplasty

• 作者: Ai Zhuang Jing Sun Wo-Dong Shi
• 来源期刊: 国际眼科杂志:英文版
• 学科: 医学
• 关键词: punctal OCCLUSION RETROGRADE canaliculotomy punctoplasty INTUBATION
• 年，卷（期）: 2019,（9）
• 页码范围: 1498-1502
• 页数: 5页
• 分类号: R779.6

摘要

This is a retrospective, noncomparative analysis of a case series to explore the safety and effectiveness of retrograde canaliculotomy and punctoplasty for treating epiphora due to upper and lower lacrimal punctal occlusion. During the procedure, the horizontal portion of the normal lower canaliculus was identified;the corresponding punctum was reconstructed via retrograde canaliculotomy and punctoplasty. Intubation was performed to prevent postoperative reocclusion. Patients were followed up for 12 to 24 mo. A total of 16 patients with unilateral upper and lower lacrimal punctal occlusion were included. Satisfactory outcomes were achieved: all 16 patients exhibited improvement of epiphora;31 rebuilt punctal openings and canaliculi achieved recanalization. Only one upper punctal opening could not be reconstructed because the corresponding canaliculus exhibited severe injury. No significant complications occurred as a result of the treatments. Retrograde canaliculotomy and punctoplasty appears to effective, safe, and minimally invasive for treatment of upper and lower punctal occlusion.