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Punctal and canalicular plugs: Indications, efficacy and safety.
J Fr Ophtalmol 2019; 42(3):e95-e104JF

Abstract

Lacrimal occlusion with punctal or canalicular plugs have been used to treat dry eye disease for more than 40 years. Indeed, punctal plugs constitute a safe and effective tool to retain the natural tear film and prolong the effect of tear substitutes. A wide variety of plugs is available, differing in their design, location (punctal versus canalicular) and their resorbability. There indications have increasingly broadened, and they are now one of the treatment options for numerous ocular surface diseases. Current research focuses on using punctal plugs for extended delivery of drugs to the ocular surface. This review addresses physiology of lacrimal drainage, available models of punctal plugs, their indications, practical details of prescribing and placing punctal and canalicular plugs, and possible complications.

Authors+Show Affiliations

Ophthalmology Service, Hôpital Bicêtre, Assistance publique-Hôpitaux de Paris, Université Paris-Sud, Division of Vision and Disabilities, OPHTARA rare eye disease, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France.Ophthalmology Service, Hôpital Bicêtre, Assistance publique-Hôpitaux de Paris, Université Paris-Sud, Division of Vision and Disabilities, OPHTARA rare eye disease, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France; Viral and autoimmune disease immunology (IMVA/Infrastructure IDMIT) UMR 1184, CEA, 92260 Fontenay-aux-Roses, France.Ophthalmology Service, Hôpital Bicêtre, Assistance publique-Hôpitaux de Paris, Université Paris-Sud, Division of Vision and Disabilities, OPHTARA rare eye disease, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France.Ophthalmology Service, Hôpital Bicêtre, Assistance publique-Hôpitaux de Paris, Université Paris-Sud, Division of Vision and Disabilities, OPHTARA rare eye disease, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France.Ophthalmology Service, Hôpital Bicêtre, Assistance publique-Hôpitaux de Paris, Université Paris-Sud, Division of Vision and Disabilities, OPHTARA rare eye disease, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France.Ophthalmology Service, Hôpital Bicêtre, Assistance publique-Hôpitaux de Paris, Université Paris-Sud, Division of Vision and Disabilities, OPHTARA rare eye disease, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France; Viral and autoimmune disease immunology (IMVA/Infrastructure IDMIT) UMR 1184, CEA, 92260 Fontenay-aux-Roses, France. Electronic address: antoine.rousseau@aphp.fr.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

30692031

Citation

Best, A-L, et al. "Punctal and Canalicular Plugs: Indications, Efficacy and Safety." Journal Francais D'ophtalmologie, vol. 42, no. 3, 2019, pp. e95-e104.
Best AL, Labetoulle M, Legrand M, et al. Punctal and canalicular plugs: Indications, efficacy and safety. J Fr Ophtalmol. 2019;42(3):e95-e104.
Best, A. L., Labetoulle, M., Legrand, M., M'garrech, M., Barreau, E., & Rousseau, A. (2019). Punctal and canalicular plugs: Indications, efficacy and safety. Journal Francais D'ophtalmologie, 42(3), pp. e95-e104. doi:10.1016/j.jfo.2018.12.003.
Best AL, et al. Punctal and Canalicular Plugs: Indications, Efficacy and Safety. J Fr Ophtalmol. 2019;42(3):e95-e104. PubMed PMID: 30692031.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Punctal and canalicular plugs: Indications, efficacy and safety. AU - Best,A-L, AU - Labetoulle,M, AU - Legrand,M, AU - M'garrech,M, AU - Barreau,E, AU - Rousseau,A, Y1 - 2019/01/26/ PY - 2018/11/17/received PY - 2018/12/10/revised PY - 2018/12/14/accepted PY - 2019/1/30/pubmed PY - 2019/9/17/medline PY - 2019/1/30/entrez KW - Canaliculitis KW - Dry eye KW - Intracanalicular plug KW - Lacrimal apparatus KW - Punctal plug SP - e95 EP - e104 JF - Journal francais d'ophtalmologie JO - J Fr Ophtalmol VL - 42 IS - 3 N2 - Lacrimal occlusion with punctal or canalicular plugs have been used to treat dry eye disease for more than 40 years. Indeed, punctal plugs constitute a safe and effective tool to retain the natural tear film and prolong the effect of tear substitutes. A wide variety of plugs is available, differing in their design, location (punctal versus canalicular) and their resorbability. There indications have increasingly broadened, and they are now one of the treatment options for numerous ocular surface diseases. Current research focuses on using punctal plugs for extended delivery of drugs to the ocular surface. This review addresses physiology of lacrimal drainage, available models of punctal plugs, their indications, practical details of prescribing and placing punctal and canalicular plugs, and possible complications. SN - 1773-0597 UR - https://www.unboundmedicine.com/medline/citation/30692031/Punctal_and_canalicular_plugs:_Indications,_efficacy_and_safety L2 - https://linkinghub.elsevier.com/retrieve/pii/S0181-5512(18)30503-5 DB - PRIME DP - Unbound Medicine ER -