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Revista Cubana de Oftalmología

Print version ISSN 0864-2176On-line version ISSN 1561-3070


ORTIZ RAMOS, Datia Liset  and  ABREU PERDOMO, Franklyn Alain. Modified two-snip punctoplasty for stenosis of inferior lacrimal points and canaliculi. Rev Cubana Oftalmol [online]. 2020, vol.33, n.2, e813.  Epub June 01, 2020. ISSN 0864-2176.


Determine the results achieved by modified two-snip punctoplasty in the management of patients with stenosis of inferior lacrimal points and canaliculi.


A retrospective descriptive study was conducted of a case series at Comandante Manuel Fajardo Clinical Surgical University Hospital from January 2016 to December 2018. The sample was 22 patients (38 eyes) undergoing the surgical technique. The variables studied were age, sex, skin color, bilaterality, anatomical location of the obstruction, personal pathological antecedents, complications and final functional evaluation.


Of the total 22 patients, 17 were in the 60-79 years age group, 72.7% were female and 86.4% were white. Blepharitis was the main ophthalmological antecedent (18.2%). Obstruction was bilateral in 72.7% of the cases, fundamentally at the lacrimal punctum (16 cases). 86.8% did not have any postoperative complication, whereas 3 presented extrusion of the silicone tutor. These were related to failure in the final result. Surgery was successful in 92.1% of the cases.


Lacrimal duct stenosis prevails in white skin women aged over 60 years without reported pathological antecedents. The disorder is more common at the lacrimal punctum. The surgical technique used achieves excellent results with minimum complications.

Keywords : Epiphora; lacrimal punctum stenosis; punctoplasty.

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