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Lacrimal Punctal Occlusion With Conjunctival Flap
Bülent Yazici1, Ayşe Dolar Bilge, Faisal Naqadan
1Department of Ophthalmology, Uludağ University, Bursa, Turkey.
Ophthalmic Plastic and Reconstructive Surgery
|September 18, 2014
Summary
Punctal occlusion using a conjunctival flap effectively closes the lacrimal punctum in patients with dry eye. This surgical technique offers a reversible option with a high success rate and minimal complications.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Dry Eye Disease
Background:
- Dry eye disease affects a significant portion of the population.
- Punctal occlusion is a common treatment for severe dry eye.
- Existing occlusion methods may have limitations.
Purpose of the Study:
- To detail a novel punctal occlusion technique using a conjunctival flap.
- To evaluate the surgical outcomes and efficacy of this method.
Main Methods:
- A conjunctival transposition flap was used to occlude the lacrimal punctum in 30 patients.
- The technique involved superficial excision of the eyelid margin and suturing of the canalicular opening.
- Surgical results were reviewed over a mean follow-up of 4.8 months.
Main Results:
- 94% of occluded puncti (65 out of 69) remained successfully closed.
- Only 4 puncti reopened, and 2 cases required surgical reversal due to epiphora.
- No intraoperative or significant postoperative complications were reported.
Conclusions:
- Conjunctival transposition flap occlusion is an effective and reversible treatment for the lacrimal punctum.
- This method shows promise for managing severe dry eye.
- The technique offers a safe alternative for punctal occlusion.
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