Ulusoy, Mahmut OğuzAtakan, Mehmet2023-02-032023-02-032017-04-06Ulusoy, M. O. vd. (2017). ''Prevalence and associated factors of external punctal stenosis among elderly patients in Turkey''. Arquivos Brasileiros de Oftalmologia, 80(5), 296-299.0004-2749https://doi.org/10.5935/0004-2749.201700721678-2925http://hdl.handle.net/11452/30825Purpose: To estimate the prevalence of external punctal stenosis (EPS) in the elderly population and investigate associated factors. Methods: A total of 278 patients >= 65 years of age were evaluated for evidence of EPS from January to July 2016. Associated systemic, ocular, demographic, and lifestyle factors were investigated. Multiple logistic regression analyses were applied to evaluate the factors related to having EPS. P values <0.05 were considered statistically significant. Results: The prevalence of EPS in this study population was 63.3%, with a mean age of 70.67 +/- 7.85 (65-92 years). The ocular factor that was most commonly related to EPS was chronic blepharitis (48.9%). EPS was also associated with taking glaucoma medications (95% CI, 0.08-0.96, p=0.043), smoking history (95% CI, 0.13-0.84, p=0.021), ectropion (95% CI, 0.004-0.26, p=0.001), complaints of tearing (95% CI, 1.11-3.52, p=0.02), and outdoor occupational activity (95% CI, 3.42-9.97, p<0.05). Conclusions: EPS is more common in elderly patients than in the general population. Outdoor occupational activity, taking antiglaucomatous medications, ectropion, and smoking are significantly associated with EPS. In addition, surgical treatment decisions should be made after complete evaluation and interviewing the patients.RESUMO Objetivo: Estimar a prevalência de estenose externa do ponto lacrimal (EEPL) na população idosa e investigar os fatores associados. Métodos: Foram avaliados 278 pacientes ≥65 anos com estenose externa do ponto lacrimal de janeiro a julho de 2016. Todos os fatores sistêmicos, oculares, demográficos e de estilo de vida associados foram investigados. Foram utilizadas análises de regressão logística múltipla para avaliar os fatores relacionados a estenose externa do ponto lacrimal, valores de p<0,05 foram considerados estatisticamente significativos. Resultados: A prevalência de estenose externa do ponto lacrimal foi de 63,3%, com idade média de 70,67 ± 7,85 (65-92 anos). O fator ocular mais relacionado com estenose externa do ponto lacrimal foi blefarite crônica. (IC de 95%, 0,08-0,96, p=0,043), história de tabagismo (IC 95%, 0,13-0,84, p=0,021), ectrópio (IC 95%, 0,004-0,26, p=0,001), queixa de lacrimejamento (95% IC, 1,11-3,52, p=0,02) e atividade ocupacional ao ar livre (IC 95%, 3,42-9,97, p<0,05). Conclusão: A estenose externa do ponto lacrimal é um distúrbio mais comum em pacientes idosos do que na população em geral. Atividade ocupacional ao ar livre, medicação antiglaucomatosa, ectrópio e tabagismo foram significativamente associados com estenose externa do ponto lacrimal. A decisão sobre tratamento cirúrgico deve ser dada após a avaliação completas dos fatores associados em cada paciente.eninfo:eu-repo/semantics/openAccessOphthalmologyLacrimal apparatusLacrimal duct obstructionBlepharitisDry eye syndromesAgedTurkey/epidemiologyCanalicular stenosisDry eyePopulationOcclusionEtiologyAparelho lacrimalObstrução dos ductos lacrimaisBlefariteSíndromes do olho secoLdosoTurquia/epidemiologiaAge factorsAgedAged, 80 and overBlepharitisConstriction, pathologicCross-sectional studiesFemaleHumansLacrimal apparatusLacrimal duct obstructionLogistic modelsPrevalenceMaleRisk factorsSmokingTurkeyPrevalence and associated factors of external punctal stenosis among elderly patients in TurkeyPrevalência e fatores associados à estenose externa do ponto lacrimal em pacientes idosos na TurquiaArticle0004153470000062-s2.0-8503356752229629980529160539OphthalmologyCanaliculitis; Lacrimal Apparatus; Lacrimal Gland DiseaseAgeAgedBlepharitisComplicationCross-sectional studyFemaleHumanLacrimal apparatusLacrimal duct occlusionMalePathologyPathophysiologyPrevalenceRisk factorSmokingStatistical modelStenosis, occlusion and obstructionVery elderly