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Scientific correspondence
The punctal apposition syndrome: a new surgical approach
  1. I C Francis,
  2. M K Wan
  1. Ocular Plastics Unit, Prince of Wales Hospital and the University of NSW, Sydney, New South Wales 2031, Australia
  1. Correspondence to: Dr Ian C Francis, Suite 12, Chatswood Grove, 12–14 Malvern Avenue, Chatswood, NSW 2067, Australia; if{at}student.unsw.edu.au

Abstract

Aims: To assess the punctal apposition syndrome (PAS) and its response to lateral canthal tendon (LCT) repair.

Methods: In this retrospective, interventional case series, five patients (seven symptomatic eyes) with PAS were managed. Lateral canthal tendon repair was performed in all seven eyes. The main outcome measure was correction of watery eye symptomatology.

Results: All five patients achieved symptomatic resolution. Conjunctivochalasis and functional nasolacrimal duct obstruction were associated with the PAS.

Conclusion: This new surgical approach to the PAS, using a LCT repair, was successful in all patients. Two patients (three eyes) required conjunctivochalasis excision.

  • punctal apposition syndrome
  • surgery

https://doi.org/10.1136/bjo.86.11.1256

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