American Journal of Medical and Clinical Sciences. 2025; 10(5):(141-148)


Electrothermocoagulation for Occlusion of the Lacrimal Punctum: An Easy Outpatient Procedure

Jorge Schwember, Luisa Madrid, Constanza Orrego.

Abstract

Lacrimal disturbances such as excessive tearing or ocular surface dryness are frequent reasons for ophthalmic consultation. For the latter condition, this study presents a novel surgical technique for lacrimal punctum occlusion. The procedure is performed in an outpatient setting using only a portable bipolar cautery. A retrospective analysis was conducted of all patients undergoing this technique by a single surgeon from 2015 to 2025. A total of 32 patients underwent the procedure in a clinic-based environment. The mean follow-up period was 5 months (range, 4 months to 2 years). All patients expressed satisfaction with the outcomes achieved. This technique offers several advantages, including technical simplicity, minimal instrumentation, potential reversibility, and a short procedure time.

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