A Simple Test for Epiphora Caused by Punctal Stenosis

ABSTRACT

Punctal stenosis may be caused by several etiologies and easily treated by punctoplasty with accompanying procedures. History taking, external and slit-Iamp examinations, and diagnostic tests and imaging techniques of lacrimal system identified lacrimal system abnormalities. Occasionally satisfactory result was not gained after punctoplasty, so author introduce the simple test to aid diagnosis of punctal stenosis and to predict surgical result of punctoplasty. If the fluorescein dye disappearance test documents a dilation, additional fluorescein dye disappearance test was performed to evaluate the efficacy of punctal dilation to relieve the epiphora. This procedure will be helpful in the case of subtle punctal stenosis and evaluation of surgical result.