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Long-term retention rates and complications of silicone punctal plugs in dry eye.
Am J Ophthalmol 2007; 144(3):441-444AJ

Abstract

PURPOSE

To evaluate long-term retention rates and complications of silicone punctal plugs among dry eye patients.

DESIGN

Prospective, observational cohort study.

METHODS

Ninety-five silicone punctal plugs (FCI plugs; FCI Ophthalmics, Issy-les-Moulineaux Cedex, France) were placed in 93 eyes of 47 dry eye patients. Within the observation period of up to eight years, this survey included recording of the retention rate, spontaneous loss, removal, canalicular permeability after loss or removal, as well as other complications such as infection, intrusion, and granuloma.

RESULTS

The retention rate of the plugs was 84.2% after three months, 69.5% after one year, and 55.8% after a median of two years (range, 17 to 93 months). No infection was observed, but granulomatous formation occurred in three eyes (one with extrusion, two with intrusion). Three plugs had to be removed for local discomfort or epiphora, and one piece of a broken plug intruded. Canalicular stenosis after spontaneous loss occurred in 14.3% after three months, in 26.9% after one year, and in 34.2% after a median of two years.

CONCLUSIONS

The retention rate after a median of two years of FCI punctal plugs was satisfactory with few complications. The major observation concerned canalicular stenosis after spontaneous loss.

Authors+Show Affiliations

Department of Ophthalmology, Medical University of Graz, Graz, Austria.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17631850

Citation

Horwath-Winter, Jutta, et al. "Long-term Retention Rates and Complications of Silicone Punctal Plugs in Dry Eye." American Journal of Ophthalmology, vol. 144, no. 3, 2007, pp. 441-444.
Horwath-Winter J, Thaci A, Gruber A, et al. Long-term retention rates and complications of silicone punctal plugs in dry eye. Am J Ophthalmol. 2007;144(3):441-444.
Horwath-Winter, J., Thaci, A., Gruber, A., & Boldin, I. (2007). Long-term retention rates and complications of silicone punctal plugs in dry eye. American Journal of Ophthalmology, 144(3), pp. 441-444.
Horwath-Winter J, et al. Long-term Retention Rates and Complications of Silicone Punctal Plugs in Dry Eye. Am J Ophthalmol. 2007;144(3):441-444. PubMed PMID: 17631850.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term retention rates and complications of silicone punctal plugs in dry eye. AU - Horwath-Winter,Jutta, AU - Thaci,Arsim, AU - Gruber,Anna, AU - Boldin,Ingrid, Y1 - 2007/07/12/ PY - 2007/01/25/received PY - 2007/05/13/revised PY - 2007/05/15/accepted PY - 2007/7/17/pubmed PY - 2007/9/25/medline PY - 2007/7/17/entrez SP - 441 EP - 444 JF - American journal of ophthalmology JO - Am. J. Ophthalmol. VL - 144 IS - 3 N2 - PURPOSE: To evaluate long-term retention rates and complications of silicone punctal plugs among dry eye patients. DESIGN: Prospective, observational cohort study. METHODS: Ninety-five silicone punctal plugs (FCI plugs; FCI Ophthalmics, Issy-les-Moulineaux Cedex, France) were placed in 93 eyes of 47 dry eye patients. Within the observation period of up to eight years, this survey included recording of the retention rate, spontaneous loss, removal, canalicular permeability after loss or removal, as well as other complications such as infection, intrusion, and granuloma. RESULTS: The retention rate of the plugs was 84.2% after three months, 69.5% after one year, and 55.8% after a median of two years (range, 17 to 93 months). No infection was observed, but granulomatous formation occurred in three eyes (one with extrusion, two with intrusion). Three plugs had to be removed for local discomfort or epiphora, and one piece of a broken plug intruded. Canalicular stenosis after spontaneous loss occurred in 14.3% after three months, in 26.9% after one year, and in 34.2% after a median of two years. CONCLUSIONS: The retention rate after a median of two years of FCI punctal plugs was satisfactory with few complications. The major observation concerned canalicular stenosis after spontaneous loss. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/17631850/Long_term_retention_rates_and_complications_of_silicone_punctal_plugs_in_dry_eye_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(07)00485-0 DB - PRIME DP - Unbound Medicine ER -