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Silicone perforated punctal plugs for the treatment of punctal stenosis.
Arq Bras Oftalmol. 2019 06 27; 82(5):394-399.AB

Abstract

PURPOSE

Punctal stenosis can result in symptoms such as epiphora and can significantly reduce the quality of life of patients. Perforated punctal plug insertion is an easy procedure that is commonly used as the first step of treatment for punctal stenosis.

METHODS

Clinical, demographic, and outcome data were retrospectively collected for 54 eyes of 21 males and 11 females who consecutively presented to our Oculoplastic Clinic and underwent silicone Micro Flow perforated punctal plug insertion. All patients had epiphora with punctal stenosis.

RESULTS

Of the 54 plugs, 26 plugs (48.1%) were lost and 28 (51.8%) stayed in place. Of the latter, eight were explanted because of the occlusion of the plug with secretions and recurrent conjunctivitis; moreover, two plugs migrated deep into the vertical canaliculus. Of the 54 plugs, only 18 (33.3%) were well-tolerated with significant symptomatic improvement.

CONCLUSION

Plug loss is a prominent problem in patients implanted with perforated punctal plugs. Silicone punctal plugs failed in 66.7% of our patients over a mean follow-up of 14.2 months.

Authors+Show Affiliations

Department of Ophthalmology, Canakkale Onsekiz Mart University, Canakkale, Turkey.Eye Clinic, Canakkale Government Hospital, Canakkale, Turkey.Department of Ophthalmology, Canakkale Onsekiz Mart University, Canakkale, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31271571

Citation

Comez, Arzu Taskiran, et al. "Silicone Perforated Punctal Plugs for the Treatment of Punctal Stenosis." Arquivos Brasileiros De Oftalmologia, vol. 82, no. 5, 2019, pp. 394-399.
Comez AT, Karakilic AV, Yildiz A. Silicone perforated punctal plugs for the treatment of punctal stenosis. Arq Bras Oftalmol. 2019;82(5):394-399.
Comez, A. T., Karakilic, A. V., & Yildiz, A. (2019). Silicone perforated punctal plugs for the treatment of punctal stenosis. Arquivos Brasileiros De Oftalmologia, 82(5), 394-399. https://doi.org/10.5935/0004-2749.20190077
Comez AT, Karakilic AV, Yildiz A. Silicone Perforated Punctal Plugs for the Treatment of Punctal Stenosis. Arq Bras Oftalmol. 2019 06 27;82(5):394-399. PubMed PMID: 31271571.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Silicone perforated punctal plugs for the treatment of punctal stenosis. AU - Comez,Arzu Taskiran, AU - Karakilic,Azersara Vural, AU - Yildiz,Aydin, Y1 - 2019/06/27/ PY - 2018/09/12/received PY - 2018/12/29/accepted PY - 2019/7/5/pubmed PY - 2020/4/3/medline PY - 2019/7/5/entrez SP - 394 EP - 399 JF - Arquivos brasileiros de oftalmologia JO - Arq Bras Oftalmol VL - 82 IS - 5 N2 - PURPOSE: Punctal stenosis can result in symptoms such as epiphora and can significantly reduce the quality of life of patients. Perforated punctal plug insertion is an easy procedure that is commonly used as the first step of treatment for punctal stenosis. METHODS: Clinical, demographic, and outcome data were retrospectively collected for 54 eyes of 21 males and 11 females who consecutively presented to our Oculoplastic Clinic and underwent silicone Micro Flow perforated punctal plug insertion. All patients had epiphora with punctal stenosis. RESULTS: Of the 54 plugs, 26 plugs (48.1%) were lost and 28 (51.8%) stayed in place. Of the latter, eight were explanted because of the occlusion of the plug with secretions and recurrent conjunctivitis; moreover, two plugs migrated deep into the vertical canaliculus. Of the 54 plugs, only 18 (33.3%) were well-tolerated with significant symptomatic improvement. CONCLUSION: Plug loss is a prominent problem in patients implanted with perforated punctal plugs. Silicone punctal plugs failed in 66.7% of our patients over a mean follow-up of 14.2 months. SN - 1678-2925 UR - https://www.unboundmedicine.com/medline/citation/31271571/Silicone_perforated_punctal_plugs_for_the_treatment_of_punctal_stenosis_ L2 - http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492019005010103&lng=en&nrm=iso&tlng=en DB - PRIME DP - Unbound Medicine ER -