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Impressum
Herrick Lacrimal Plugs with Consequences
Küppers J., Hungermann D., Büchner T., Busse H., Gerding H.
Klinik und Poliklinik für Augenheilkunde, Westfälische Wilhelms-Universität, Münster
Case report: Report on the application of Herrick Lacrimal Plugs
in a 55- year-old patient who had been suffering from dry eye syndrome.
After a 10- year period with unsuccessful trials of tear substitution
she desided for the bilateral implantation of Herrick Lacrimal Plugs in
US. Initially symptoms improved for a limited period of one year. Then
epiphora and recurrent inflammation of the lacrimal system occured on
both sides. Probing of the descending lacrimal system revealed a bilateral
occlusion at the level of the C. communis. During surgery granulation
tissue surrounding the lacrimal plug was detected on the left side. On
the right scar tissue with total occlusion of the C. communis and degradation
of the plug material with incorporation into the tissue of the lacrimal
system was found. Demonstration of the surgical procedure and histological
findings will be provided.
Conclusion: The use of lacrimal plugs implanted in the punctum
is a well established method for the treatment of patients with dry eye
syndrome. Herrick Lacrimal Plugs as used in this case can not recommended.