Mitomycin as adjunct therapy in correcting iatrogenic punctal stenosis
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Updated: Nov 7, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
1Department of Ophthalmology and Visual Sciences, University of Illinois, Chicago College of Medicine 60612.
Abstract:
A 52-year-old woman developed persistent epiphora in her left eye after undergoing occlusion of the left puncta. Two attempts to reopen the puncta with a one-snip procedure and placement of punctal silicone plugs failed. The epiphora resolved and the puncta remained patent after the patient underwent a third one-snip procedure, supplemented with topical mitomycin during and after surgery.
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