Title

Spontaneous canalicular plug erosion after punctal plug placement

Document Type

Journal Article

Publication Date

4-1-2017

Journal

Cornea

Volume

36

Issue

4

DOI

10.1097/ICO.0000000000001130

Keywords

dry eye; keratoconjunctivitis sicca; punctal plug; Sjogren syndrome

Abstract

Purpose: To describe a case of keratoconjunctivitis sicca treated with punctal plug placement with the first reported complication of subsequent plug erosion through the canaliculus and extrusion through the lid. Methods: Punctal plugs were placed in a patient with Sjogren syndrome for treatment of keratoconjunctivitis sicca. More than 12 years later, the plug was noted to have eroded through the canaliculus and extruded through the conjunctiva and lid. Results: The extruded plug was removed, and punctal cautery was performed on 2 other puncta with improved symptom control. Conclusions: Plug extrusion through the conjunctiva and lid is a possible consequence of punctal plug placement.

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