| Title | Feasibility study to investigate the perforated punctal plug as an alternative to three snip punctoplasty for the treatment of acquired punctal stenosis (POPPY) – A progress report |
| Submitted by | Mohammad Dehabadi |
| Abstract Number | 349 |
| 19-262 | |
| Review Result | poster presentation |
| Purpose | To determine if perforated punctal plugs (PPPs) are an acceptable alternative to 3-snip punctoplasty (3SP) in the treatment of acquired punctal stenosis (APS). |
| Methods | Randomised study recruiting 60 patients with APS at the Western Eye Hospital, London.
Patients are assessed by a masked investigator using the Watery Eye Qualify of Life Questionnaire (WEQOL), slit lamp examination, lacrimal syringing, and OCT measurement of puncta. Eligible patients are randomised to receive a 3SP or PPP, with PPP removal at 2 months. Patients are reviewed at 6 months post 3SP or PPP removal using the same criteria as baseline. Final review at 12 months is by telephone to complete the WEQOL. Primary outcome measure: |
| Results | 36 patients have been recruited to date, with 6-month data on 14 patients, and 12-month data on 11 patients. 1 patient withdrew due to failure, 1 lost to follow-up at 6 months, and 2 lost to follow up at 12 months.
The mean age of patients is 62 years (range 27-85) and 78% are female. At baseline, patients are dabbing their eyes on average 96 times in the preceding week (95% CI 73-115), with the mode punctum size being Kashkouli grade 2, and mode tear meniscus height of 0.3mm (range 0.5mm) in the symptomatic eye. |
| Conclusion | We present an update on recruitment and the baseline characteristics of this clinical trial. We report no adverse events thus far and hope to conclude recruitment within 12 months. |
Additional Authors
| Last name | Initials | City / Hospital | Department |
|---|---|---|---|
| Hoffman | JJ | Western Eye Hospital | Ophthalmology |
| Yang | E | Moorfields Eye Hospital | Ophthalmology |
| A’Hern | R | London | |
| Alnahrawy | A | Western Eye Hospital | Oculoplastics |
| Fayers | T | Western Eye Hospital | Oculoplastics |
