Combined excision and punch punctoplasty for peripunctal nevus: a report of three cases
Keywords:
Conjunctival neoplasms, NevusAbstract
We describe a safe, effective, and minimally invasive procedure that combines excision and punch punctoplasty for treatment of peripunctal nevi in three patients. The peripunctal lesions are removed, and the punctal opening and canaliculus are expanded using a standardized Kelly punch, while minimizing the risk of postoperative punctal stenosis. No temporary stents are needed, eliminating the risk of related complications. At the 2-month follow-up, all three patients had fully recovered and had visibly well-patent puncta.
References
1. Nair AG, Mukherjee B, Kamal S, et al. Peripunctal mass lesions: clinicopathological analysis and surgical outcomes: a multicentric series. Ophthalmic Plast Reconstr Surg 2022;38:154-9.
2. Zhao Y, Hui JW, Yang LL, Zhao H, Lin JY, Pan Y. Clinical and pathological analysis of 64 patients with primary neoplasms of the lacrimal drainage system [in Chinese]. Zhonghua Yan Ke Za Zhi 2020;56:364-9.
3. Chen C, Lee YK, Lai CC. Outcomes of lacrimal punctal tumors treated with a superpulse CO2 laser. Lasers Med Sci 2022;37:2287-91.
4. Scott KR, Jakobiec FA, Font RL. Peripunctal melanocytic nevi. Distinctive clinical findings and differential diagnosis. Ophthalmology 1989;96:994-8.
5. Ali MJ, Jakati S. Punctal nevus with intracanalicular extension. Ophthalmic Plast Reconstr Surg 2024;40:360.
6. Rumelt S, Pe'er J, Rubin PA. The clinicopathological spectrum of benign peripunctal tumours. Graefes Arch Clin Exp Ophthalmol 2005;243:113-9.
7. Chang M, Ahn SE, Baek S. The effect of perforated punctal plugs in the management of acquired punctal stenosis. J Craniofac Surg 2013;24:1628-30.
8. Custer PL, Council ML. Clinical features and management of eyelid margin nevi. Orbit 2024;43:8-15.
9. Hwang CS, Lee S, Yen MT. Peripunctal melanocytic nevus. Int Ophthalmol 2011;31:497-9.
10. Wong ES, Li EY, Yuen HK. Long-term outcomes of punch punctoplasty with Kelly punch and review of literature. Eye (Lond) 2017;31:560-5.
11. Carrim ZI, Liolios VI, Vize CJ. Punctoplasty with a Kelly punch. Ophthalmic Plast Reconstr Surg 2011;27:397-8.
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