Park Seong Jun, Noh Ju Hee, Park Ki Bum, Jang Sun Young, Lee Jong Won
College of medicine, Soonchunhyang University, 204-ho, 31 Soonchunhyang-6-gil, Dongnam-gu, Cheonan, 31151, Choongcheongnam-do, South Korea.
Soo Eye Clinics, 202-13, Miadong, Kangbook-gu, Seoul, 01118, South Korea.
BMC Ophthalmol. 2018 Mar 5;18(1):70. doi: 10.1186/s12886-018-0733-2.
We developed a novel surgical technique to treat punctal stenosis involving the placement of three interrupted sutures after rectangular three-snip punctoplasty (TSP).
Retrospective chart review of forty-eight eyes of 44 patients who underwent rectangular TSP with three interrupted sutures was performed. We investigated whether anatomical recurrences (re-stenosis) occurred during the follow-up period. The subjective symptoms of patients were surveyed.
The mean patient age was 64.1 years, and the mean follow-up time was 17.4 months. The placement of three interrupted sutures after rectangular TSP afforded satisfactory outcomes. Regarding subjective symptoms, 91.7% of the eyes (44/48) were reported as improved. Among 4 eyes determined as symptomatic failure, anatomical recurrence (re-stenosis of the punctum) was observed in only one eye. The other three (6.25%, 3/48 eyes) showed functional nasolacrimal obstruction, namely epiphora with patent tear duct.
Placement of three interrupted sutures after rectangular TSP to treat punctal stenosis showed promising results. Notably anatomical success rate was about 98%. Further comparisons between the novel surgical technique and conventional techniques are required.
我们开发了一种新颖的手术技术，用于治疗泪点狭窄，即在矩形三剪泪点成形术（TSP）后放置三根间断缝线。
对44例接受矩形TSP并放置三根间断缝线的患者的48只眼进行回顾性病历审查。我们调查了随访期间是否发生解剖学复发（再狭窄）。对患者的主观症状进行了调查。
患者的平均年龄为64.1岁，平均随访时间为17.4个月。矩形TSP后放置三根间断缝线取得了满意的效果。关于主观症状，91.7%的眼睛（44/48）报告症状改善。在确定为症状性失败的4只眼中，仅一只眼观察到解剖学复发（泪点再狭窄）。另外三只眼（6.25%，3/48只眼）表现为功能性鼻泪管阻塞，即泪道通畅但流泪。
矩形TSP后放置三根间断缝线治疗泪点狭窄显示出有前景的结果。值得注意的是，解剖学成功率约为98%。需要对这种新颖的手术技术与传统技术进行进一步比较。
