Elshorbagy MS, Shalaby OE, Eldesouky MA, et al. - In the present study, the researchers sought to assess the role of anterior segment–optical coherence tomography (AS-OCT) in the diagnosis of punctal stenosis and to compare punctal parameters before and after medical treatment. Participants in the study were 24 patients (40 eyes) who had acquired inflammatory punctal stenosis and had persistent epiphora (persistent epiphora group – PEG) and 10 individuals (20 eyes) with normal punctal openings as a control group (control group – CG). Findings revealed that the mean outer punctal diameter (OPD) of the PEG before treatment was significantly smaller than that of the CG. AS-OCT parameters have been useful in monitoring and measuring the effectiveness of medical treatment in relieving punctal edema, which has subsequently reduced the symptoms of epiphora.