ArticleJournal of ophthalmology2026
The Impact of Proximal Nasolacrimal Abnormalities on the Surgical Outcomes of Punctal Stenosis.
Article in Journal of ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- The Impact of Proximal Nasolacrimal Abnormalities on the Surgical Outcomes of Punctal Stenosis.Journal of ophthalmology · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Punctoplasty is the standard surgical treatment for punctal stenosis; however, underlying canalicular abnormalities may significantly impact functional outcomes. This study evaluates the frequency and nature of proximal canalicular pathologies in patients with severe punctal stenosis (Grade 0 or 1) undergoing snip punctoplasty without stent or plug implantation and explores their relationship with surgical success. Methods: This retrospective study included patients with Grade 0 or 1 punctal stenosis who underwent snip punctoplasty at Izmir Tepecik Training and Research Hospital between 2017 and 2023. Patients with systemic diseases, prior lacrimal surgeries, or nasolacrimal duct obstructions beyond the common were excluded. Punctoplasty was performed using the three-snip technique without the use of punctal plugs or Mini-Monoka stents. Intraoperative probing and lacrimal lavage were used to evaluate canalicular patency. Results: A total of 312 patients (516 eyes) were included. Surgical success was achieved in 396 eyes (76.74%). Failure occurred in 120 eyes (23.26%), with proximal canalicular stenosis being the most common associated pathology (38.33%), followed by mid-canalicular (26.67%) obstructions. Since we exclusively included patients with Grade 0-1 punctal stenosis, the relatively lower functional success observed in our cohort may reflect a higher underlying prevalence of canalicular pathology in this subgroup. This supports the hypothesis that advanced punctal stenosis is frequently accompanied by additional proximal lacrimal abnormalities, potentially contributing to surgical failure. Failure was significantly associated with increasing age, especially in patients ≥ 60 years (28.7%) compared to patients < 60 years (15.2%). Gender was not a significant factor. Conclusions: Although anatomical patency can be achieved with snip punctoplasty, functional success is often compromised by unrecognized canalicular abnormalities-particularly in patients with severe punctal stenosis. Chronic ocular inflammation and fibrosis may affect both the punctum and canalicular pathway. Adjunctive use of Mini-Monoka stents should be considered to address deeper canalicular disease. Future prospective studies with standardized symptom scores and extended follow-up are warranted.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.