Skip to main content

Punctal Stenosis and Punctoplasty

  • Chapter
  • First Online:
  • 1434 Accesses

Abstract

Punctal stenosis is a common disorder of the punctum. It is an important cause of epiphora and accounted for 8% of all patients presenting with epiphora in a tertiary care oculoplastic practice [1–5]. Although numerous factors have been implicated as causative agents, the exact pathogenesis is still elusive. The widely believed hypothesis that has been supported by histological studies is a common mechanism involving inflammation leading to fibrosis and subsequent stenosis [2].

This is a preview of subscription content, log in via an institution.

References

  1. Kashkouli MB, Beigi B, Murthy R, et al. Acquired external punctal stenosis. Etiology and associated findings. Am J Ophthalmol. 2003;136:1079–84.

    Article  PubMed  Google Scholar 

  2. Ali MJ, Mishra DK, Baig F, et al. Punctal stenosis: histopathology, immunology and electron microscopic features—a step towards unraveling the mysterious etiopathogenesis. Ophthal Plast Reconstr Surg. 2015;31:98–102.

    Article  PubMed  Google Scholar 

  3. Ali MJ, Ayyar A, Naik MN. Outcomes of rectangular 3-snip punctoplasty in acquired punctal stenosis: is there a need to be minimally invasive? Eye (Lond). 2015;29:515–8.

    Article  CAS  Google Scholar 

  4. Caesar RH, McNab AA. A brief history of punctoplasty: the three snip revisited. Eye. 2005;19:16–8.

    Article  CAS  PubMed  Google Scholar 

  5. Mathew RG, Olver JM. Mini-monoka made easy: a simple technique for mini-monoka insertion in acquired punctal stenosis. Ophthal Plast Reconstr Surg. 2011;27:293–4.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ali, M.J. (2018). Punctal Stenosis and Punctoplasty. In: Atlas of Lacrimal Drainage Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-10-5616-1_24

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-5616-1_24

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-5615-4

  • Online ISBN: 978-981-10-5616-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics