PURPOSE: @entity6134 is an uncommon condition presenting with @entity9467 , medial eyelid swelling, pouting punctum, and punctal discharge. Surgical treatment with canaliculotomy with incision of the punctum is the treatment of choice when medical management fails. The risk of @entity9467 and functioning of the healed canaliculus is unknown. We describe a modification to the standard technique by leaving the punctum intact, incising the canaliculus along its full extent, and intubating the upper system with a silicone monocanalicular stent. METHODS: The lower punctum is dilated, and a Bowman probe inserted into the canaliculus. A no. 11 Bard-Parker blade is used to incise the canaliculus along its full extent, beginning 2 mm medial to the punctum, leaving the punctum intact. The contents of the canaliculus are curetted, and purulent material, drained. The wound is left open, and a mini-Monoka @entity1346 monocanalicular stent (FCI Ophthalmics, Marshfield Hills, MA) is inserted to bridge the gap between the intact punctum and lacrimal sac. The incision is left to heal by secondary intention. RESULTS: This modified punctum-sparing canaliculotomy was performed on 3 @entity1 . In one @entity1 , the upper and lower canaliculi were treated. The other 2 @entity1 had involvement of the lower canaliculus only. All 3 @entity1 tolerated the procedure well with full resolution of symptoms. No complaints of @entity86 were made, and the system was patent to irrigation postoperatively. CONCLUSIONS: Punctum-sparing canaliculotomy with monocanalicular intubation is an effective treatment for @entity6134 and may be particularly useful in cases in which both upper and lower canaliculi are involved and the risk of @entity86 and canalicular scarring is unknown.

Punctum-sparing canaliculotomy for the treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity6134 :: ('MESH:C538406', 'Disease') :: ['Canaliculitis', 'canaliculitis'] @entity9467 :: ('MESH:D007766', 'Disease') :: ['epiphora'] @entity1346 :: ('MESH:D012828', 'Chemical') :: ['silicone'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative epiphora']
@entity6134 :: (MESH:C538406,Disease) :: ['canaliculitis']
