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A new punctal plug insertion technique to prevent intracanalicular plug migration.
Am J Ophthalmol. 2009 Jan; 147(1):178-182.e1.AJ

Abstract

PURPOSE

To evaluate the intracanalicular migration rate during plug insertion with a new plug insertion technique compared with a standard technique.

DESIGN

Interventional, nonrandomized, comparative study.

METHOD

Forty-five patients with dry eye syndrome underwent a punctal plug insertion with the new technique, and 33 patients underwent a punctal plug insertion with a standard technique at the dry eye subspecialty outpatient clinic of the Department of Ophthalmology at Keio University. Tear function examinations and ocular surface evaluations, including the Schirmer test, tear film breakup time, fluorescein and Rose Bengal vital staining scores, were performed before punctal plug insertion. Super Flex Punctum Plugs (Eagle Vision, Memphis, Tennessee, USA; Softplug-Oasis Medical Inc, Glendora, California, USA) were implanted in all subjects with both techniques. In total, 120 procedures were carried out with the new technique and 132 procedures with the standard technique.

RESULTS

There were no statistical differences between the two groups in tear function and ocular surface staining scores (P > .05). There was no intracanalicular plug migration with the new insertion technique, whereas there were 18 incidents of intracanalicular migration of 132 standard plug insertion procedures (13.6%).

CONCLUSIONS

The new plug insertion technique seems to be effective in eliminating intracanalicular plug migration during the insertion procedure.

Authors+Show Affiliations

Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18775526

Citation

Kaido, Minako, et al. "A New Punctal Plug Insertion Technique to Prevent Intracanalicular Plug Migration." American Journal of Ophthalmology, vol. 147, no. 1, 2009, pp. 178-182.e1.
Kaido M, Ishida R, Dogru M, et al. A new punctal plug insertion technique to prevent intracanalicular plug migration. Am J Ophthalmol. 2009;147(1):178-182.e1.
Kaido, M., Ishida, R., Dogru, M., & Tsubota, K. (2009). A new punctal plug insertion technique to prevent intracanalicular plug migration. American Journal of Ophthalmology, 147(1), 178-e1. https://doi.org/10.1016/j.ajo.2008.07.012
Kaido M, et al. A New Punctal Plug Insertion Technique to Prevent Intracanalicular Plug Migration. Am J Ophthalmol. 2009;147(1):178-182.e1. PubMed PMID: 18775526.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A new punctal plug insertion technique to prevent intracanalicular plug migration. AU - Kaido,Minako, AU - Ishida,Reiko, AU - Dogru,Murat, AU - Tsubota,Kazuo, Y1 - 2008/09/05/ PY - 2008/04/22/received PY - 2008/07/03/revised PY - 2008/07/03/accepted PY - 2008/9/9/pubmed PY - 2009/1/9/medline PY - 2008/9/9/entrez SP - 178 EP - 182.e1 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 147 IS - 1 N2 - PURPOSE: To evaluate the intracanalicular migration rate during plug insertion with a new plug insertion technique compared with a standard technique. DESIGN: Interventional, nonrandomized, comparative study. METHOD: Forty-five patients with dry eye syndrome underwent a punctal plug insertion with the new technique, and 33 patients underwent a punctal plug insertion with a standard technique at the dry eye subspecialty outpatient clinic of the Department of Ophthalmology at Keio University. Tear function examinations and ocular surface evaluations, including the Schirmer test, tear film breakup time, fluorescein and Rose Bengal vital staining scores, were performed before punctal plug insertion. Super Flex Punctum Plugs (Eagle Vision, Memphis, Tennessee, USA; Softplug-Oasis Medical Inc, Glendora, California, USA) were implanted in all subjects with both techniques. In total, 120 procedures were carried out with the new technique and 132 procedures with the standard technique. RESULTS: There were no statistical differences between the two groups in tear function and ocular surface staining scores (P > .05). There was no intracanalicular plug migration with the new insertion technique, whereas there were 18 incidents of intracanalicular migration of 132 standard plug insertion procedures (13.6%). CONCLUSIONS: The new plug insertion technique seems to be effective in eliminating intracanalicular plug migration during the insertion procedure. SN - 1879-1891 UR - https://www.unboundmedicine.com/medline/citation/18775526/A_new_punctal_plug_insertion_technique_to_prevent_intracanalicular_plug_migration_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(08)00532-1 DB - PRIME DP - Unbound Medicine ER -