Study: Pigtail with Self-Retaining Bicanalicular Intubation and Mitomycin C for Lower Punctal Stenosis
Background
The study used a pigtail to create an opening at the lower punctal site in grade 0 stenosis and inserted a self-retaining tube along with Mitomycin C (MMC).
Methods
Patients with acquired lower punctal stenosis (grade 0) were randomly divided into two groups: Group A received treatment with pigtail and MMC 0.02%, and Group B received treatment with pigtail alone. The pigtail was inserted through the upper punctum until its tip reached the occluded punctum, then the site was incised with a scalpel (No. 11), and a self-retaining bicanalicular tube was placed.
Results
The study included 36 eyes from 26 patients. Both groups showed no differences in epiphora score, FDD test, and punctal size preoperatively. However, significant differences were observed postoperatively, with Group A showing better results in epiphora score, FDD test, and punctal size at various time points.
Conclusion
The study concluded that using the pigtail probe, bicanalicular stent, and MMC can be an effective method in the treatment of severe punctal stenosis.
PMID: 38744721 | DOI: 10.1007/s10792-024-03146-1
Practical Solutions and Value
Clinical trials are essential for developing safe and effective treatments. Extending their benefits into everyday medical practice is crucial. Our AI-driven platform, DocSym, consolidates ICD-11 standards, clinical protocols, and research into a single, easily accessible knowledge base for clinicians.
In today’s healthcare environment, streamlining operations is crucial. Our mobile apps support scheduling, monitoring treatments, and telemedicine, making it easier to manage patient care and expand services digitally.
By using AI, clinics can enhance their workflows, improve patient outcomes, and reduce paper routines. Learn more about how we can help at aidevmd.com.
