Open AccessPunctal plug as a treatment option for dry eye associated with congenital supernumary puncta
Author(s) -
Alicia GalindoFerreiro,
Laila AlGhafri,
Patrícia Akaishi,
Alberto Gálvez-Ruiz,
Julio Galindo-Alonso,
Silvana Artioli Schellini,
Augusto Cruz
Publication year - 2018
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/meajo.meajo_102_16
Subject(s) - medicine , schirmer test , eyelid , tears , ophthalmology , lacrimal canaliculi , surgery , dry eyes
This study aims to describe a case of double lower lacrimal punctum-canaliculi in a dry eye patient treated with a punctal plug. A 60-year-old healthy female presented with complaints of tearing, itchy eyes, and foreign body sensation in the right eye for many years. There was no history of trauma or inflammation. Two patent independent supernumerary puncta and canaliculi were present on the right lower eyelid. The Schirmer Test II (with anesthesia) was zero, the tear breakup time was 2 s, and superficial punctate erosions were present in the right eye. A long-term nonabsorbable punctal plug was inserted into one of the lower puncta. At 9-month follow-up, the dry eye symptoms decreased markedly, the Schirmer Test II improved and superficial keratitis resolved.