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Effect of punctal occlusion by Freeman silicone plug insertion on tear osmolarity in dry eye disorders

Gilbard, J.P.; Rossi, S.R.; Azar, D.T.; Heyda, K.G.

Clao Journal Official Publication of the Contact Lens Association of Ophthalmologists Inc 15(3): 216-218

1989

ISSN/ISBN: 0733-8902
PMID: 2476258
Document Number: 338852
We retrospectively examined the effect of punctal occlusion by Freeman silicone plug insertion on dry eye disorders in 17 patients. Patients met at least two of the following criteria: history consistent with dry eye, interpalpebral rose bengal staining, and elevated tear film osmolarity. Plug insertion significantly decreased tear film osmolarity. Rose bengal staining decreased in 75% of the eyes examined. There were no cases of postoperative epiphora. Punctal plug insertion is therapeutic for dry eye disease, but extrusion is a significant problem.

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