| Citation:Zhuang A,Sun J,Shi WD.Treatment of upper and lower lacrimal punctal occlusion using retrograde canaliculotomy and punctoplasty.Int J Ophthalmol 2019;12(9):1498-1502,doi:10.18240/ijo.2019.09.20 |
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| Treatment of upper and lower lacrimal punctal occlusion using retrograde canaliculotomy and punctoplasty |
| Received:September 04, 2018 Revised:February 26, 2019 |
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| DOI：10.18240/ijo.2019.09.20 |
| Key Words:punctal occlusion retrograde canaliculotomy punctoplasty intubation |
| Fund Project:Supported by the National Natural Science Foundation of China (No.81600766; No.31600971); Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, the Science and Technology Commission of Shanghai (No.17DZ2260100); Shanghai Young Doctor Training Program. |
| Author | Institution |
| Ai Zhuang |
Department of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai , China; Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai , China |
| Jing Sun |
Department of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai , China; Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai , China |
| Wo-Dong Shi |
Department of Ophthalmology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai , China; Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai , China |
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| Abstract: |
| 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 24mo. 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. |
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