Akkiz punktum stenozunda tanı, etyoloji ve tedavi seçenekleri

Deniz İlhan

doi:10.31362/patd.745569

Akkiz punktum stenozunda tanı, etyoloji ve tedavi seçenekleri

Öz

Punktum stenozu, önemli bir epifora nedenidir. Konjenital olabilse de daha çok akkiz görülen, kanalikülün eksternal açıklığının daralmasıdır. Punktum açıklığı, tam tıkanıklığa kadar farklı genişliklerde ve şekillerde görülebilir. İdiyopatik ve involüsyonel başta olmak üzere kronik enflamatuar sürece yol açan lokal ve sistemik enflamatuar hastalıklar, kapak malformasyonları, topikal ve sistemik ilaç kullanımı ve enfeksiyonlara bağlı olarak punktum stenozu gelişmektedir. Punktum stenozunun tedavisinde, kanalikülün proksimali ve eksternal açıklığın genişletilmesine yönelik Snip ampulloplasti, Panç ampulloplasti ve genişliğin devamının sağlanması amacıyla delikli punktum tıkaçları, stent kullanımları gibi etkili olduğu gösterilen minimal cerrahi yöntemler uygulanmaktadır. Hastaların önemli bölümü başarılı bir şekilde tedavi edilse de, bazı hastalarda punktum stenozunun tekrarladığı görülmektedir. Akkiz punktum stenozunun nedenlerinin, klinik yaklaşım ve tedavi seçeneklerinin bilinmesi bu patoloji nedenli epiforanın tedavisinde başarı için gereklidir.

Anahtar Kelimeler

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