Epiphora secondary to punctal and canalicular stenosis is successfully managed by mini-monoka punctocanaliculoplasty, according to a study in the British Journal of Ophthalmology.
Dr R.N. Hussain et al., Department of Ophthalmology, Leicester Royal Infirmary, Infirmary Square, Leicester, UK, performed a retrospective case note analysis on 123 eyes of 77 consecutive patients.
Of the eyes studied, 73% had punctal stenosis, 72% had canalicuar stenosis, 46% had both punctal stenosis and canalicuar stenosis, 20% had some severity of lid laxity and 29% had nasolacrimal duct stenosis.
After treatment, 82% of the eyes demonstrated a significant improvement in symptoms. The success rate was raised to 88% when structural comorbidity patients were excluded from the study.
It was discovered that mini-monoka punctocanaliculoplasty is an effective, safe, simple and fairly non-invasive treatment for epiphora secondary to punctal and/or canalicular stenosis.