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Comment on: ‘use of mini-monoka stents for punctal/canalicular stenosis’
  1. Henry Smith,
  2. Richard Lee,
  3. Elizabeth Hawkes,
  4. Mona Khandwala
  1. Eye Department, Maidstone Hospital, Maidstone, Kent, UK
  1. Correspondence to Dr Henry Smith, Eye Department, Maidstone Hospital, Hermitage Lane, Maidstone, Kent ME16 9QQ, UK; hbs{at}

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We read with interest the article published by Hussain, Kanani and McMullan entitled ‘Use of mini-monoka stents for punctal/canalicular stenosis’ in the British Journal of Ophthalmology.1 We have recently reviewed the clinical notes and completed a telephone-based questionnaire for our own patients who have undergone a similar procedure, although in our case we also performed a one-snip punctoplasty as described by Kashkouli et al.2 Our method and results may also be of interest to your readers.

The means by which ‘success’ is measured following such procedures is an important part of the study methodology. Hussain et al used ‘improvement of symptoms’ as their primary outcome measure, but the means by which this was assessed was not described in the paper. Patient benefit from surgery can be measured in many ways including; clinical …

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  • Contributors HS is the principal author of this letter and acts as the guarantor. RL, EH and HS reviewed the case notes, conducted the interviews and analysed the results. MK supervised the study and contributed substantively to the drafting of this letter.

  • Competing interests None.

  • Patient consent This was a retrospective study and involved a questionnaire completed by a telephone interview. Verbal consent was obtained before proceeding. This methodology was approved by the Trust.

  • Ethics approval Ethics approval was provided by Maidstone & Tunbridge Wells NHS Trust.

  • Provenance and peer review Not commissioned; internally peer reviewed.