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Complications Associated With the New Smaller Size Freeman Punctal Plug

Complications Associated With the New Smaller Size Freeman Punctal Plug Abstract To the Editor. —Since its introduction more than 10 years ago,1 the Freeman punctal plug (Eagle Vision, Memphis, Tenn) has been found to be useful in a subset of patients suffering from moderately severe keratoconjunctivitis sicca.2 The original design of the plugs had a large outer cap that often caused a foreign-body sensation and precluded long-term tolerance. Recently, two new plug designs (medium and small sizes) have been made available.We first used the smallest size plug (model 003) in May 1988. Since then, we have observed two types of complications with this new design that had not been noted with the original larger design: punctal scarring after removal of the plugs in one patient, and loss of the plugs into the canaliculi in three patients. Report of Cases. —Case 1. —Freeman punctal plugs were placed in all four puncta of a 49-year-old woman with keratoconjunctivitis sicca. References 1. Freeman JM. The punctum plug: evaluation of a new treatment for the dry eye . Ophthalmology . 1975;79:874-879. 2. Willis RM, Folberg R, Krachmer JH, Holland EJ. The treatment of aqueous-deficient dry eye with removable punctal plugs: a clinical and impression-cytologic study . Ophthalmology . 1987;94:514-518.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Complications Associated With the New Smaller Size Freeman Punctal Plug

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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1989.01070020023015
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —Since its introduction more than 10 years ago,1 the Freeman punctal plug (Eagle Vision, Memphis, Tenn) has been found to be useful in a subset of patients suffering from moderately severe keratoconjunctivitis sicca.2 The original design of the plugs had a large outer cap that often caused a foreign-body sensation and precluded long-term tolerance. Recently, two new plug designs (medium and small sizes) have been made available.We first used the smallest size plug (model 003) in May 1988. Since then, we have observed two types of complications with this new design that had not been noted with the original larger design: punctal scarring after removal of the plugs in one patient, and loss of the plugs into the canaliculi in three patients. Report of Cases. —Case 1. —Freeman punctal plugs were placed in all four puncta of a 49-year-old woman with keratoconjunctivitis sicca. References 1. Freeman JM. The punctum plug: evaluation of a new treatment for the dry eye . Ophthalmology . 1975;79:874-879. 2. Willis RM, Folberg R, Krachmer JH, Holland EJ. The treatment of aqueous-deficient dry eye with removable punctal plugs: a clinical and impression-cytologic study . Ophthalmology . 1987;94:514-518.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1989

References