Comparative study evaluates outcomes of treatments for acquired punctal stenosis, suggesting a better quality of life with punctoplasty.
Both punctoplasty and PPPs are effective APS interventions. Despite greater enlargement to punctal anatomy following three-snip punctoplasty, PPPs, and three-snip punctoplasty both improve epiphora, although three-snip punctoplasty may provide a greater improvement to quality of life.
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Vekinis et al. (2026) studied this question.
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