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Punctal stenosis: definition, diagnosis, and treatment

Authors Soiberman U, Kakizaki H, Selva D, Leibovitch I

Received 18 March 2012

Accepted for publication 1 April 2012

Published 3 July 2012 Volume 2012:6 Pages 1011—1018

DOI https://doi.org/10.2147/OPTH.S31904

Review by Single-blind

Peer reviewer comments 2

Uri Soiberman,1 Hirohiko Kakizaki,2 Dinesh Selva,3 Igal Leibovitch1

1Division of Oculoplastic and Orbital Surgery, Department of Ophthalmology, Tel-Aviv Medical Center, Tel-Aviv University, Tel-Aviv, Israel; 2Department of Ophthalmology, Aichi Medical University, Nagakute, Japan; 3South Australian Institute of Ophthalmology and Discipline of Ophthalmology and Visual Sciences, University of Adelaide, South Australia, Australia

Abstract: Acquired punctal stenosis is a condition in which the external opening of the lacrimal canaliculus is narrowed or occluded. This condition is a rare cause of symptomatic epiphora, but its incidence may be higher in patients with chronic blepharitis, in those treated with various topical medications, including antihypertensive agents, and especially in patients treated with taxanes for cancer. The purpose of this review is to cover the medical literature, focusing in particular on definition, incidence, risk factors, etiology and treatment options.

Keywords: acquired punctal stenosis, definition, epiphora, etiology, treatment

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