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Related Experiment Video

Updated: Mar 7, 2026

Nasolacrimal Lavage as a Treatment for Ocular Surface Toxic Soup Syndrome
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Spontaneous Canalicular Plug Erosion After Punctal Plug Placement.

Xinxin Zhang1, Maya Bitar, Richard M Davis

  • 1*Department of Ophthalmology, Marshall University, Huntington, West Virginia; and †Department of Ophthalmology, University of North Carolina at Chapel Hill, Chapel Hill, NC.

Cornea
|February 17, 2017
PubMed
Summary

Punctal plugs treat dry eye disease but can erode and extrude through the eyelid, a rare complication. This case highlights the importance of monitoring for such events in patients with keratoconjunctivitis sicca.

Area of Science:

  • Ophthalmology
  • Ocular Surface Disease

Background:

  • Keratoconjunctivitis sicca (KCS), or dry eye disease, significantly impacts ocular comfort and vision.
  • Punctal plugs are a common treatment for KCS, aiming to conserve natural tears by blocking drainage.

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  • Sjogren syndrome is a common autoimmune cause of KCS.