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Mini-Monoka Made Easy: A Simple Technique for Mini-Monoka Insertion in Acquired Punctal Stenosis

Mathew, Rashmi G. M.B.B.S., M.R.C.Ophth.; Olver, Jane M. M.B.B.S., F.R.C.Ophth., F.R.C.S.

Ophthalmic Plastic & Reconstructive Surgery: July-August 2011 - Volume 27 - Issue 4 - p 293-294
doi: 10.1097/IOP.0b013e31820ccfaf
Surgical Technique

Purpose: To describe a simple and effective technique to insert the mini-monoka mono-canalicular stent using a nettleship dilator, without the need for a snip-procedure.

Methods: Description of a surgical technique.

Results: Mini-monoka stents have been shown to have a high rate of stent migration and premature loss when combined with a one-snip procedure. Our technique preserves the annular ring of the punctum and thus reduces the likelihood of these complications.

Conclusion: This is a practical technique for the insertion of the mini-monoka monocanalicular stent for acquired punctual stenosis.

We describe a simple technique to insert the mini-monoka into the punctum.

Department of Oculoplastics, Western Eye Hospital, London NW1 5QH, United Kingdom

Accepted for publication October 23, 2010.

The authors declare no proprietary or financial interests.

Address correspondence and reprint requests to Dr. Rashmi G. Mathew, M.B.B.S., M.R.C.Ophth., Western Eye Hospital, 171 Marylebone Road, London NW1 5QH, U.K. E-mail:

©2011The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.