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Abstract
Purpose
To introduce and assess the results of punctoplasty using a radiofrequency surgical unit for punctal stenosis.
Methods
Patients who complained of epiphora, had an intact lacrimal pathway below puncti, and underwent punctoplasty with the Ellman Surgitron F.F.P.F were evaluated in the present study.
Results
A total of 19 patients (31 eyes) were included in the study. The average age was 55 years (±15.7 years). At the last follow-up visit, 27 eyes (87%) had patent puncti, 1 eye became stenotic again, and 3 eyes were completely obstructed. Twenty-two eyes (71%) showed almost complete disappearance of dye on the fluorescein dye-disappearance test (FDDT). Twenty-five eyes (81%) had symptomatic improvement. No significant complication was reported postoperatively.
Figures and Tables
Figure 1
(A) Intraoperative photograph of widening the punctum with an Ellman probe and (B) widened punctum immediately after surgery.
Figure 2
A case of 65-year-old man. (A) Preoperative stenotic punctum is noted. He underwent punctoplasty with radiofrequency surgical unit. (B) After 1 month, widened punctum is noted.
Figure 3
FDDT (fluorescein dye disappearance test) before (Left) and 6 months (Right) after punctoplasty. Before punctoplasty, two patients showed residual dye amount of 4+. After punctoplasty with radiofrequency surgical unit, almost no residual dye is found (Top: 58-year-old woman, bottom: 62-year-old man).
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