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Silicone punctal plug migration resulting in dacryocystitis and canaliculitis.
Cornea. 1997 May; 16(3):377-9.C

Abstract

PURPOSE

One of the modalities of treating dry eyes is punctal plugs. They are usually used for temporary occlusion of the lacrimal drainage system. Among the complications associated with silicone punctal plugs are extrusion, downward migration, irritation, and epiphora. To our knowledge, this is the first report of dacryocystitis and canaliculitis as a result of spontaneous migration of punctal plugs into the lacrimal drainage system.

METHODS

We describe the sequelae of spontaneous migration of silicone punctal plugs into the lacrimal drainage system in two patients with dry eyes.

RESULTS

In two patients, spontaneous migration of silicone punctal plugs into the canaliculus or the lacrimal sac, respectively, resulted in canaliculitis or dacryocystitis.

CONCLUSION

Smaller sized newer generation punctal plugs were designed to facilitate insertion; however, this design also increases the likelihood of proximal migration within the lacrimal drainage system. The importance of monitoring patients after punctal-plug placement cannot be over-emphasized.

Authors+Show Affiliations

Department of Ophthalmology, Massachusetts Eye & Ear Infirmary, Harvard Medical School, Boston, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9143816

Citation

Rumelt, S, et al. "Silicone Punctal Plug Migration Resulting in Dacryocystitis and Canaliculitis." Cornea, vol. 16, no. 3, 1997, pp. 377-9.
Rumelt S, Remulla H, Rubin PA. Silicone punctal plug migration resulting in dacryocystitis and canaliculitis. Cornea. 1997;16(3):377-9.
Rumelt, S., Remulla, H., & Rubin, P. A. (1997). Silicone punctal plug migration resulting in dacryocystitis and canaliculitis. Cornea, 16(3), 377-9.
Rumelt S, Remulla H, Rubin PA. Silicone Punctal Plug Migration Resulting in Dacryocystitis and Canaliculitis. Cornea. 1997;16(3):377-9. PubMed PMID: 9143816.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Silicone punctal plug migration resulting in dacryocystitis and canaliculitis. AU - Rumelt,S, AU - Remulla,H, AU - Rubin,P A, PY - 1997/5/1/pubmed PY - 1997/5/1/medline PY - 1997/5/1/entrez SP - 377 EP - 9 JF - Cornea JO - Cornea VL - 16 IS - 3 N2 - PURPOSE: One of the modalities of treating dry eyes is punctal plugs. They are usually used for temporary occlusion of the lacrimal drainage system. Among the complications associated with silicone punctal plugs are extrusion, downward migration, irritation, and epiphora. To our knowledge, this is the first report of dacryocystitis and canaliculitis as a result of spontaneous migration of punctal plugs into the lacrimal drainage system. METHODS: We describe the sequelae of spontaneous migration of silicone punctal plugs into the lacrimal drainage system in two patients with dry eyes. RESULTS: In two patients, spontaneous migration of silicone punctal plugs into the canaliculus or the lacrimal sac, respectively, resulted in canaliculitis or dacryocystitis. CONCLUSION: Smaller sized newer generation punctal plugs were designed to facilitate insertion; however, this design also increases the likelihood of proximal migration within the lacrimal drainage system. The importance of monitoring patients after punctal-plug placement cannot be over-emphasized. SN - 0277-3740 UR - https://www.unboundmedicine.com/medline/citation/9143816/Silicone_punctal_plug_migration_resulting_in_dacryocystitis_and_canaliculitis_ L2 - http://dx.doi.org/10.1097/00003226-199705000-00022 DB - PRIME DP - Unbound Medicine ER -