title: Adjunctive re-dilation for early cicatrization after punctoplasty.
abstract: OBJECTIVE
  To evaluate punctoplasty outcomes with adjunctive in-office probing of early post-procedure cicatricial changes.
  
  
  METHODS
  Retrospective analysis of all eyes undergoing 3-snip punctoplasty by a single surgeon between August 1,2008 and June 30, 2011.
  
  
  RESULTS
  Twenty-two patients were eligible for this study. Twenty-eight eyes (15 right, 13 left) underwent punctoplasty. Twenty-three eyes underwent in-office post-procedure dilation for early cicatricial changes. Anatomical success was achieved in 22 patients (100%). Twenty-one patients (95.5%) reported improvement in epiphora.
  
  
  CONCLUSIONS
  Functional and anatomical success rates after punctoplasty may be improved by close post-procedure follow-up with in-office re-dilation for recurrent punctal cicatrization.
authors.affiliation: Department of Ophthalmology, Weill Cornell Medical Center, NY, USA.
authors.forename: Claire E
authors.initials: CE
authors.lastname: Fraser
authors.forename: Paul
authors.initials: P
authors.lastname: Petrakos
authors.forename: Gary J
authors.initials: GJ
authors.lastname: Lelli
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D003251:Constriction, Pathologic; D003608:Dacryocystorhinostomy / Q000379:methods*; D005260:Female; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000209:etiology / Q000601:surgery*; D007767:Lacrimal Duct Obstruction / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome