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Retained Herrick Plug.

Justin B Hellman1, Edward Bradley Strong1, Lily Koo Lin1

  • 1Department of Ophthalmology and Vision Sciences, University of California Davis Medical Center, Sacramento, California, USA.

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Summary
This summary is machine-generated.

This case study highlights long-term retention of intracanalicular Herrick lacrimal plugs, causing epiphora. It suggests collared punctal plugs may reduce the risk of such complications.

Keywords:
DacryocystorhinostomyEndoscopicRetained Herrick plugTearing

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Area of Science:

  • Ophthalmology
  • Oculoplastics

Background:

  • Dry eye syndrome is commonly treated with punctal plugs.
  • Intracanalicular Herrick lacrimal plugs are used for dry eye management.
  • Persistent epiphora can significantly impact quality of life.

Observation:

  • A 79-year-old female experienced chronic epiphora despite previous treatment for dry eye syndrome.
  • Herrick lacrimal plugs inserted 13 years prior were identified as the cause of the persistent tearing.
  • The plugs were found migrated into the common canaliculus during dacryocystorhinostomy procedures.

Findings:

  • Intracanalicular lacrimal plugs can migrate and cause long-term complications.
  • Endoscopic dacryocystorhinostomy successfully resolved epiphora caused by retained plugs.
  • The migration of Herrick plugs underscores potential risks associated with their prolonged use.

Implications:

  • This case suggests that collared punctal plugs may offer a safer alternative due to a lower risk of migration.
  • Ophthalmologists should consider the potential for long-term lacrimal plug migration and retention.
  • Further research into the long-term safety and efficacy of different punctal plug designs is warranted.