Clinical and epidemiological characterization of stenosis of puncta lacrimalia
Keywords:
Lacrimal apparatus diseases, Lacrimal duct obstruction/epidemiology, Pathological constriction.Abstract
Introduction: epiphora is caused by the obstruction of the tear ducts.
Objective: to describe clinical and epidemiological characteristics in patients with puncta lacrimalia treated in the oculoplastics service at Abel Santamaria Cuadrado University Hospital during 2015.
Method: an observational, descriptive and cross-sectional study was conducted with a target group of 687 patients and a sample of 132 having the diagnosis of stenosis of puncta lacrimalia, using chi square and Fisher’s test of exact probabilities as statistical methods.
Results: stenosis of puncta lacrimalia frequently occurred in female patients (83) and grade-I stenosis was diagnosed in 52.3% of the cases; the average age 71.88 was frequent. Blepharitis was identified as a risk factor and was present in 45.6% of the cases. Grade-III epifora was diagnosed in 50 patients. The obstruction of the nasolacrimal duct was present in 15.5% of patients treated.
Conclusions: stenosis grade-I of puncta lacrimalia is a common entity in females, and its frequency increases with age. Blepharitis was a risk factor present in a large number of the patients studied, the lower puncta lacrimalia was the most affected, and grade-III epiphora as well as nasolacrimal duct obstruction were widely represented in this study.
Downloads
References
1. Soiberman U, KaKizaki H, Selva D. Punctalstenosis: definition , diagnosis, and treatment. ClinOphthalmol [Internet]. 2012 [citado 12 Ago 2015]; 6: 1011–18. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3402122/
2. Port AD, Chen YT, Lelli GJ.Histopathological changes in punctal stenosis. OphthalPlastReconstrSurg [Internet]. 2013 [citado 12 Ago 2015]; 29(3): 201–4. Disponible en: http://journals.lww.com/op-rs/Abstract/2013/05000/Histopathologic_Changes_in_Punctal_Stenosis.13.aspx
3. Ali MJ, Mishra DK, Baig F, Lakshman M, Naik MN. Punctal stenosis: histology, immunology and electron microscopic features—a step towards unravelling the mysterious etiopathogenesis. OphthalPlastReconstrSurg [Internet]. 2014 [citado 12 Ago 2015]; 31(2): 98(102). Disponible en: http://journals.lww.com/op-rs/Abstract/2015/03000/Punctal_Stenosis___Histopathology,_Immunology,_and.5.aspx
4. Sung Eun K, Sung Jun L, Sang Yeul L, Jin Sook Y. Outcomes of 4-Snip Punctoplasty for Severe Punctal Stenosis: Measurement of Tear Meniscus Height by Optical Coherence Tomography. Am J Ophthalmol [Internet]. 2012 Jul [citado 12 Ago 2015]; 153(4): 769-77. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0002939411007677?returnurl=http:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0002939411007677%3Fshowall%3Dtrue&referrer=http:%2F%2Fwww.sciencedirect.com%2Fscience%2Farticle%2Fpii%2FS0002939411007677
5. Ali M J, Ayyar A, Naik M N. Outcomes of rectangular 3-snip punctoplasty in acquired punctal stenosis: is there a need to be minimally invasive?Eye [Internet]. 2015 [citado 12 Ago 2015]; 29: 515-18. Disponible en: http://www.nature.com/eye/journal/v29/n4/full/eye2014342a.html
6. Kakizaki H, Takahashi Y, Iwaki M, Nakano T, Asamoto K et al. Punctal and canalicular anatomy: implications for canalicular occlusion in severe dry eye. Am J Ophthalmol [Internet]. 2011 [citado 21 Ago 2015]; 153(2): 229–37. Disponible en: http://www.sciencedirect.com/science/article/pii/S0002939411005873
7. Mainville N, Jordan DR. Etiology of tearing: a retrospective analysis of referrals to a tertiary care oculoplastics practice. OphthalPlastReconstrSurg [Internet]. 2011 [citado 21 Ago 2015]; 27(3):155–7. Disponible en: http://journals.lww.com/op-rs/abstract/2011/05000/etiology_of_tearing__a_retrospective_analysis_of.3.aspx
8. Balado López A, Carnero López J. Lagrimeo o Epifora [Internet]. s/l: Elsevier; 2014 [citado 21 Ago 2015]. Disponible en: http://www.fisterra.com/guias-clinicas/lagrimeo-epifora/#4299
9. Zaragoza Casares P, Toledano Fernández A. Controversias en cirugía de vías lagrimales [Internet]. ; 2013.p.20-21. Disponible en: http://www.google.com.cu/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjY3dmBncPMAhXIHD4KHXtgDrAQFggfMAA&url=http%3A%2F%2Fwww.oftalmoseoformacion.com%2Fwp-oftalmoseo%2Fdocumentacion%2Fcap_00b_primeras_paginas_11.pdf&usg=AFQjCNESO2CBwRYaMJIIwZ1RcbXXnEk_tg
10. Nieto Enríquez J, Torres Blanch J.Lagrimeo. Oculoplástica [Internet] http://www.oculoplastica.net/lagrimeo.php
11. Yakopson VS, Flanagan JC, Ahn D, Luod BP. Dacryocystorhinostomy: History, evolution and future directions. Saudi J Ophthalmol [Internet]. 2011 Jan [citado 15 Jul 2014]; 25(1): 12. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3729489/
12. Seppä J, Smirnov G, Kaarniranta K, Tuomilehto H. Surgery for lower nasolacrimal duct
obstructions in adults. Duodecim [Internet]. 2012 [citado 15 Jul 2014]; 128(2): 205-11.
Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22372074
13. Miranda Anta S, Blanco Mateos G, Valverde Collar C. Dacriocistorrinostomía en adolescentes, jóvenes y adultos. ArchSocEspOftalmol [Internet]. 2011 Ago [citado 15 jul 2014]; 86(8): 7. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0365-66912011000800002
14. López García JS. Dacriocistorrinostomía externa. Mesa Redonda: Tto de la patología de las vías lagrimales. Bol SocOftalmol Madrid [Internet]. 2011 [citado 15 feb 2014]; (51): 5. Disponible en: http://www.oftalmo.com/som/index.php/2012-11-30-17-37-36/boletin-som-51-2011/17-revista/revista-51/mesa-redonda-tratamiento-de-la-patologia-de-las-vias-lagrimales-desde-el-nino-al-adulto/24-m2011-13
15. Türkcü FM, Oner V, Taş M, Alakuş F, Işcan Y. Anastomosis of both posterior and anterior flaps or only anterior flaps in external dacryocystorhinostomy. Orbit [Internet]. 2012 Dec [citado 13 jul 2014]; 31(6): 4 p. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22946500
16. Katuwal S, Aujla JS, Limbu B, Saiju R, Ruit S. External dacryocystorhinostomy: do we really need to repair the posterior flap?.Orbit [Internet]. 2013 Apr [citado 15 jun 2014]; 32(2): 6. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23514023
17. Erdoğan G, Unlü C, Vural ET, Aykut A, Bayramlar H. Inferior flap anastomosis in external dacryocystorhinostomy. OphthalPlastReconstrSurg [Internet]. 2010 Jul-Aug [citado 15 jul 2013]; 26(4): 277-80. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20551851
18. Obstrucción (o estenosis) de las vías lagrimales (o del conducto lagrimal) en los adultos. Sociedad Mexicana de Oftalmología [Internet]. 2013 [citado 21 Ago 2015]; vol (numero): paginas. Disponible en: http://www.smo.org.mx/index.php/padecimientos/102-obstruccion-de-las-vias-lagrimales-en-adultos
19. Arbizu Duralde A, Romero Martín R, Sánchez Orgaz M. Exploración y consejo quirúrgico en patología de la vía lagrimal. Tratamiento de la patología de las vías lagrimales. Boletín de la Soc. Oftalmo. de Madrid . Sociedad Oftalmológica de Madrid [Internet] 2011 [citado 21 Ago 2015]: No. 51. Disponible en: http://www.oftalmo.com/som/index.php/2012-11-30-17-37-36/boletin-som-51-2011/17-revista/revista-51/mesa-redonda-tratamiento-de-la-patologia-de-las-vias-lagrimales-desde-el-nino-al-adulto/20-m2011-09
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/
