Lower lacrimal punctum ectropion repair

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doctorgenol       Jun 9, 2012      Surgery Specialty: Oculoplastic Surgery hide
Romboidal conjunctivoplasty by I Genol
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8 years ago
Romboidal conjunctivoplasty or medial spindle procedure is performed
where the punctal ectropion is more pronounced. It is usually
necessary to dilate the punctum with a Nettleship dilator at the same
time, as this is often stenosed. It is not usually appropriate to
perform any destructive procedures on the punctum, e.g., a 3-snip
punctoplasty, as the punctum, may resume its normal appearance and
function once it has been repositioned against the globe.



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