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Comparison of retention rates and complications of 2 different types of silicon lacrimal punctal plugs in the treatment of dry eye disease.
Am J Ophthalmol. 2013 Apr; 155(4):648-653, 653.e1.AJ

Abstract

PURPOSE

To investigate the retention rate and complications of 2 different types of silicon lacrimal punctal plugs with the focus on the relationship to punctum size.

DESIGN

A prospective, nonrandomized, interventional, comparative study.

METHOD

Forty-four patients with dry eye syndrome received lacrimal punctal plug insertion with the Punctal Plug F (FCI Ophthalmics) and 30 patients received plug insertion with the Super Flex plug (Eagle Vision; Softplug-Oasis Medical Inc). In total, 110 plug insertion regions were performed using the Punctal Plug F (group A) and 110 insertion regions were carried out using Super Flex plug (group B). The gauging system of Eagle Vision was used before the lacrimal punctal plug insertion in all subjects. Plug conditions (retention rates, spontaneous plug loss, and removal) and complications related to lacrimal punctal sizes were compared between the 2 groups.

RESULTS

Retention rates were 70.4% in group A and 30.1% in group B at 6 months. Spontaneous plug loss occurrence was significant with the larger lacrimal punctum size in group A (P < .05), whereas no significant differences were observed between lacrimal punctum sizes and spontaneous loss in group B. Spontaneous plug loss occurrence was significant in elderly patients in group B (P < .05). Granuloma and injector troubles were observed in 1 and 2 cases in group A, respectively.

CONCLUSIONS

The Punctal Plug F seems to be more applicable for insertion into the smaller punctal sizes. Punctum size and age seem to be important factors in determining the appropriate types of lacrimal punctal plugs.

Authors+Show Affiliations

Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan. fwiw1193@mb.infoweb.ne.jpNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23317650

Citation

Kaido, Minako, et al. "Comparison of Retention Rates and Complications of 2 Different Types of Silicon Lacrimal Punctal Plugs in the Treatment of Dry Eye Disease." American Journal of Ophthalmology, vol. 155, no. 4, 2013, pp. 648-653, 653.e1.
Kaido M, Ishida R, Dogru M, et al. Comparison of retention rates and complications of 2 different types of silicon lacrimal punctal plugs in the treatment of dry eye disease. Am J Ophthalmol. 2013;155(4):648-653, 653.e1.
Kaido, M., Ishida, R., Dogru, M., & Tsubota, K. (2013). Comparison of retention rates and complications of 2 different types of silicon lacrimal punctal plugs in the treatment of dry eye disease. American Journal of Ophthalmology, 155(4), 648-653, e1. https://doi.org/10.1016/j.ajo.2012.10.024
Kaido M, et al. Comparison of Retention Rates and Complications of 2 Different Types of Silicon Lacrimal Punctal Plugs in the Treatment of Dry Eye Disease. Am J Ophthalmol. 2013;155(4):648-653, 653.e1. PubMed PMID: 23317650.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of retention rates and complications of 2 different types of silicon lacrimal punctal plugs in the treatment of dry eye disease. AU - Kaido,Minako, AU - Ishida,Reiko, AU - Dogru,Murat, AU - Tsubota,Kazuo, Y1 - 2013/01/11/ PY - 2012/06/13/received PY - 2012/10/29/revised PY - 2012/10/30/accepted PY - 2013/1/16/entrez PY - 2013/1/16/pubmed PY - 2013/5/29/medline SP - 648-653, 653.e1 JF - American journal of ophthalmology JO - Am. J. Ophthalmol. VL - 155 IS - 4 N2 - PURPOSE: To investigate the retention rate and complications of 2 different types of silicon lacrimal punctal plugs with the focus on the relationship to punctum size. DESIGN: A prospective, nonrandomized, interventional, comparative study. METHOD: Forty-four patients with dry eye syndrome received lacrimal punctal plug insertion with the Punctal Plug F (FCI Ophthalmics) and 30 patients received plug insertion with the Super Flex plug (Eagle Vision; Softplug-Oasis Medical Inc). In total, 110 plug insertion regions were performed using the Punctal Plug F (group A) and 110 insertion regions were carried out using Super Flex plug (group B). The gauging system of Eagle Vision was used before the lacrimal punctal plug insertion in all subjects. Plug conditions (retention rates, spontaneous plug loss, and removal) and complications related to lacrimal punctal sizes were compared between the 2 groups. RESULTS: Retention rates were 70.4% in group A and 30.1% in group B at 6 months. Spontaneous plug loss occurrence was significant with the larger lacrimal punctum size in group A (P < .05), whereas no significant differences were observed between lacrimal punctum sizes and spontaneous loss in group B. Spontaneous plug loss occurrence was significant in elderly patients in group B (P < .05). Granuloma and injector troubles were observed in 1 and 2 cases in group A, respectively. CONCLUSIONS: The Punctal Plug F seems to be more applicable for insertion into the smaller punctal sizes. Punctum size and age seem to be important factors in determining the appropriate types of lacrimal punctal plugs. SN - 1879-1891 UR - https://www.unboundmedicine.com/medline/citation/23317650/Comparison_of_retention_rates_and_complications_of_2_different_types_of_silicon_lacrimal_punctal_plugs_in_the_treatment_of_dry_eye_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(12)00769-6 DB - PRIME DP - Unbound Medicine ER -