Treatment of Punctal Occlusion Using Pigtail Probe

Koh, Chang Hyun; La, Tae Yoon

doi:10.1097/iop.0b013e3182805a4f

Cited by 9 publications

(3 citation statements)

References 17 publications

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“…Knapp et al compared deep and superficial lacrimal puncta cauterization and found out that, punctum remained close in deeper thermal cautery more significantly [44].Nevertheless, the occluding procedure may be either overused or underused, sometimes permanent or congenital occluding should be reopen using a pigtail probe to prevent symptoms such as epiphora [45].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of efficacy of plasma assisted noninvasive surgery (PANIS) as a novel approach for temporary punctal occlusion: a clinical case series

Nejat¹,

Jadidi²,

Eghtedari³

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Evaluation of efficacy of plasma assisted noninvasive surgery (PANIS) as a novel approach for temporary punctal occlusion: a clinical case series

Nejat¹,

Jadidi²,

Eghtedari³

et al. 2021

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“…A pitfall of the current study is that our technique is not applicable in case of a partial or complete occlusion of nasolacrimal duct. A case series on 5 cases with punctal occlusion used the pigtail probe to locate and incise the occluded punctum [13]. However, they used the classic lacrimal tube to maintain patency and prevent reocclusion of the lacrimal passages.…”

Section: Discussionmentioning

confidence: 99%

“…The pigtail probe has generally been used for treatment of canaliculus lacerations [11, 12]. Recently, it was used to detect the site of the occluded punctum in a small case series and proved effective [13].…”

Section: Introductionmentioning

confidence: 99%

A Simple Surgical Approach for the Management of Acquired Severe Lower Punctal Stenosis

Mandour

Said-Ahmed

Khairy

et al. 2019

Journal of Ophthalmology

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Purpose Evaluation of using pigtail probe to detect and open severely stenosed lower lacrimal punctum followed by self-retaining bicanalicular intubation. Study design A prospective nonrandomized clinical study. Methods The study included 24 patients with severe lower punctal stenosis (grade 0 according to Kashkouli scale) attending at Menoufia University Hospitals. The upper punctum and canaliculus were patent. All patients were complaining of epiphora and had a thorough ophthalmological examination including dye disappearance test and slit-lamp examination. Pigtail probe was used from patent upper punctum to detect the lower stenosed punctum which was opened with a scalpel. Syringing of the lower lacrimal passages was done to confirm its patency, and self-retaining silicone bicanalicular stent was inserted. The silicone tube was left in place for 6 months before it was removed. Patients were then followed-up for 1 year after the surgery. Results One year after surgery, epiphora was absent (grade 0) in 16 eyes (66.7%) and was present only occasionally (grade 1) in 4 eyes (16.7%). The difference from preoperative epiphora was statistically significant. One year after surgery, fluorescein dye disappearance time was grade 1 (<3 minutes) in 20 cases (83.3%), and grade 2 (3–5 minutes) in 4 cases (16.7%). There was a statistically significant difference compared with preoperative results. Conclusion Using the pigtail probe is effective in treatment of severe punctal stenosis. Maintaining the punctal opening and prevention of restenosis can be achieved by using self-retaining bicanalicular stent after confirmation of nasolacrimal duct patency. This trial is registered with NCT03731143.

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Pigtail with self-retaining bicanalicular intubation combined with Mitomycin C for the treatment of acquired lower punctal stenosis

Salamah,

Kotb,

El Deen

et al. 2024

Int Ophthalmol

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Treatment of Punctal Occlusion Using Pigtail Probe

Abstract: Punctoplasty using the pigtail probe seems to be a safe and effective method for identifying and repairing occluded puncta.

Cited by 9 publications

References 17 publications

Evaluation of efficacy of plasma assisted noninvasive surgery (PANIS) as a novel approach for temporary punctal occlusion: a clinical case series

Evaluation of efficacy of plasma assisted noninvasive surgery (PANIS) as a novel approach for temporary punctal occlusion: a clinical case series

A Simple Surgical Approach for the Management of Acquired Severe Lower Punctal Stenosis

Pigtail with self-retaining bicanalicular intubation combined with Mitomycin C for the treatment of acquired lower punctal stenosis

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