3 snip punctoplasty video download

Of the various surgical techniques, threesnip punctoplasty tsp has been the most successful method used to enlarge a narrowed punctum. This is 3 snip punctoplasty by ric caesar on vimeo, the home for high quality videos and the people who love them. The punctum is a small hole found in the inner aspect of the upper and lower eyelids that represents the start of the tear drainage system. What is the recovery time for the 3snip procedure tear duct. For a three snip punctoplasty, westcott scissors are used to make a vertical incision along the.

A modification of the rectangular variation has been termed. A 3 or 1 snip procedure is a minor operation on the lower puncta, to make the holes slightly larger. Comparison of outcomes of 3snip punctoplasty versus simple. Punctoplasty punctal 3snip procedure 30 sep, 2015 uploaded. When possible, we have given alternate routes to videos is case institutional. Download citation rectangular 3snip punctoplasty outcomes. Punctoplasty to correct watering eyes permanent dead link. Efficacy of 3snip posterior rectangular punctoplasty in the.

I had this procedure with tubes inserted on my right eye done yesterday. So if you are looking to learn the latest surgical procedures or share your latest surgical knowledge, feel free to browse, learn, share and discuss all for free. Sutureassisted punctoplasty djo digital journal of ophthalmology. Eyerounds video atlas ophthalmology the university of iowa. Oct 25, 2012 step by step description of how to perform a 3 snip punctoplasty from. This means tears can drain away more effectively after the operation. It was considered surgery and they put me completely out. The aim of this study is to determine if perforated punctal plugs are an acceptable alternative to 3 snip punctoplasty in the treatment of acquired punctal stenosis.

I was told originally that it would be a twilight sedation but wasnt the case. Punctoplasty punctal 3snip procedure 30 sep, 2015 uploaded 3,300 views. A patient came in for a punctum snip incision 68440 snip incision of lacrimal punctum and the ophthalmologist saw something on the lid that he thought required a biopsy 67810 biopsy of eyelid. Richard caesar demonstrates basic surgical skills in managing oculofacial disorders. For a three snip punctoplasty, westcott scissors are used to make a vertical incision along the lateral portion of the punctum. A horizontal incision is then made along the canaliculus. This video demonstrates the technique of 3 snip punctoplasty rectangular variant in a case of punctum stenosis, causing persistent epiphora. Keywords punctoplasty three snip punctoplasty punctal stenosis tearing epiphora. For reporting removal of eyelid lesion, the selection of codes will depend upon the nature,size and the method adopted for the removal of lesion. The doctor opened the tubes in my eyelids and ran tubes down my nose. Threesnip punctoplasty versus perforated plugs for. Jul 31, 2014 punctoplasty is a surgical procedure intended to correct a narrowing of the eyelid punctum which can cause watery eyes with overflow tearing.

Aug 30, 2015 the three snip procedure is an office operation that opens the entry way to the tear duct system. Step by step description of how to perform a 3 snip punctoplasty from. Outcomes of rectangular 3snip punctoplasty in acquired. Perforated punctal plug as an alternative to the three snip. Punctoplasty punctal 3 snip procedure 30 sep, 2015 uploaded 3,300 views. What you need to know about punctoplasty eyelid surgery. After the procedure, you will have a small amount of swelling in the inner corner of your eyelid. In this technique, a new modification of the 2snip punctoplasty, a 60 polyglactin. This is followed by an additional vertical incision along the medial portion of the punctum. Qualitative and quantitative assessment for epiphora and punctal stenosis grading were performed preoperatively and postoperatively. Autoplay when autoplay is enabled, a suggested video will automatically play next. Your browser does not currently recognize any of the video formats.

The 3snip punctoplasty may the smallest oculoplastic procedure, but it requires clear anatomical understanding of the punctum and ampulla for success. Apr 25, 2017 those with prior failed punctoplasty, ongoing inflammatory process, or an element of canalicular stenosis should be considered for concomitant nasolacrimal stenting procedures. Onesnip punctoplasty and canalicular curettage through the. This video demonstrates a punctoplasty using the 3snip procedure to widen the punctum for cases of punctal stenosis. Perforated punctal plug as an alternative to the three snip punctoplasty for the treatment of acquired lacrimal punctum stenosis. This video demonstrates a punctoplasty using the 3 snip procedure to widen the punctum for cases of punctal stenosis. Punctoplasty is a surgical procedure to restore proper drainage of tears when the lacrimal. Apr 09, 2015 outcomes of rectangular 3snip punctoplasty in acquired punctal stenosis. Outcomes of rectangular 3 snip punctoplasty in acquired punctal stenosis. There are in fact small drainage cans from the inner corner of your eye which drain down. The narrowed punctum is widened using either a kelly punch instrument or with a dilator followed by the the temporary placement of a perforated punctal plug or a crawford silicone stent, particularly if both the upper and lower puncta are affected. Purposeto compare rectangular three snip punctoplasty and polyvinylpyrrolidonecoated perforated punctal plugs for treatment of acquired lacrimal punctal stenosis.

We all know that our eyes produced tears to lubricate and moisten the eyes. This video demonstrates the difference between a three snip and two snip punctoplasty. A punctual dilator is introduced into the lower punctum vertically and then turned horizontally. We investigated whether anatomical recurrences restenosis occurred during the followup. Some are on facebook and youtube, others are on our account on vimeo. Watery eyes punctal stenosis narrow tear ducts 3 snip pu nctoplasty operation watery eyes are common condition. A second curettage was performed in only 2 patients. Feb 10, 2017 many approaches to punctoplasty in the treatment of punctal stenosis have been described. In 1853 bowman described the 1 snip punctoplasty, which had a high rate of failure attributable to reapproximation of the adjacent raw cut edges. A 3 snip punctoplasty is performed to widen the punctal opening tear duct and to improve the drainage of tears. A punctoplasty is a short procedure performed after giving a local anaesthetic injection into the inner aspect of the eyelid. The reported anatomic success rate and functional success rate of the traditional triangular 3 snip procedure was 94.

Outcomes are compared with the more conventional and anatomically destructive 3 snip triangular punctoplasty 1 cut at the vertical canaliculus, 1 cut at the horizontal canaliculus, and 1 cut at the base. Preservation of the lacrimal pump in punctoplasty surgery to report a method of rectangular. This video demonstrates a 2snip punctoplasty with placement of crawford stents. Download scientific diagram threesnip punctoplasty. May 03, 2012 surgery theater, with more than 12,000 educational surgery videos, is the worlds first online social medical video sharing for all health care professionals.

Punctal stenosis, which is an abnormal narrowing of the lacrimal punctum, oftentimes caused by inflammation and resulting in excessive tearing is the main reason to perform this. Up to three small cuts snips are made into the skin surrounding the puncta, usually on the lower eyelid. The puncta are one of the structures responsible for collecting tears which then drain away into the nasal passages. Among the various punctoplasty procedures described, 3 snip procedures have been widely popular. Patients were categorized in 2 groups based on the intervention as 3 snip punctoplasty group a and punctal dilatation with monocanalicular intubation group b. Although rectangular 3 snip punctoplasty is an effective and safe procedure for majority of grades 1 and 2 of acquired punctal stenosis, a higher percentages of functional epiphora and punctal restenosis in the remaining patients should propel further investigations into developing nonincisional, minimally invasive alternatives. So we need a little broader description of the procedure to suggest you the appropriate cpt code. Surgery theater, with more than 12,000 educational surgery videos, is the worlds first online social medical video sharing for all health care professionals. Preservation of the lacrimal pump in punctoplasty surgery.