THE PERILS OF PERMANENT PUNCTAL PLUGS

PURPOSE: To describe previously unreported complications associated wi th permanent lacrimal punctal plugs, METHOD: Five oculoplastic practic es reviewed patients referred to them over the preceding 2 years for p ermanent lacrimal punctal plug complications. RESULTS: In 12 patients, 14 lacrimal punctal plugs migrated distally within the lacrimal drain age system, causing symptoms and necessitating surgical removal. CONC LUSION: Luxation of permanent punctal plugs into the distal lacrimal d rainage system fan occur, sometimes requiring complex surgical interve ntion.