Long-term follow-up of punctal and proximal canalicular stenoses after silicone punctal plug treatment in dry eye patients

American Journal of Ophthalmology
Ingrid BoldinJutta Horwath-Winter

Abstract

To determine the clinical value and relevance of punctal and proximal canalicular stenoses after punctal plug therapy in moderate to severe dry eye syndrome. Retrospective, observational case series. Seventeen eyes were determined to have punctum or proximal canalicular stenoses after spontaneous loss of a collared silicone punctal plug. After initial diagnosis all patients had 12 months or more of follow-up (mean, 39; range, 12 to 87 months). The clinical data collected included gender and age of patients, localization of the stenosis, plug size, duration of punctal occlusion, subjective symptoms, objective ocular surface disease parameters, and occurrence of complications. A statistically significant correlation between localization of the stenosis and plug size, and localization of the stenosis and duration of punctal occlusion could not be found. At follow-up, subjective symptoms (P < .01) and frequency of artificial tear application (P < .001) were significantly reduced compared to data before plug insertion. Schirmer I test results (P < .001), corneal fluorescein staining (P < .01), and rose bengal staining (P < .001) improved significantly, whereas tear break-up time (P < .2) and impression cytology scores of the conjunc...Continue Reading

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Jul 17, 2007·American Journal of Ophthalmology·Jutta Horwath-WinterIngrid Boldin

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Citations

May 14, 2010·Eye & Contact Lens·Ali R DjalilianEdward J Holland
Feb 10, 2010·Middle East African Journal of Ophthalmology·Amal Bukhari
Feb 28, 2015·The British Journal of Ophthalmology·Angelika Klein-TheyerJutta Horwath-Winter
May 11, 2016·Orbit·Reynaldo M JavateElise Estelle T Ma Guerrero
Sep 14, 2018·Cornea·Jong Suk SongHyo Myung Kim
Mar 23, 2010·Ophthalmic Plastic and Reconstructive Surgery·Naser Owji
Jul 10, 2009·Current Opinion in Ophthalmology·Vasilios S LiarakosIoannis Mavrikakis
Mar 8, 2019·Ophthalmic Plastic and Reconstructive Surgery·Naif Alsulaiman, Adel H Alsuhaibani
Feb 25, 2017·Bio-medical Materials and Engineering·Zhe WangHui Cao
Jan 18, 2021·Acta Ophthalmologica·Maria Grazia FiorinoFrancesco M Quaranta-Leoni
Aug 18, 2009·Current Opinion in Ophthalmology

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