This is a duplicate of my Dry Eye Digest blogspot blog - to see the full archives back to 2005, please click on that link.
Looks pretty straightforward.
Restasis comes on the market. Medicare reimbursement for punctal plugs is cut in half. More and more elderly are being diagnosed with dry eye. Far fewer of them are being given plugs.
Longitudinal evidence on punctal plug use in an elderly population.
The purpose of this study was to determine whether changes in Medicare reimbursement for punctal plug insertion were associated with a decrease in the incidence
I am not fond of this kind of study... Well of course plugs are going to make a contact lens wearer more comfortable. But do we really want to perpetuate contact lens use in people who are dry eye enough to need plugs?
Effect of Punctal Occlusion on Tear Menisci in Symptomatic Contact Lens Wearers.
To investigate by ultrahigh resolution optical coherence tomography the effect of punctal occlusion on tear menisci in symptomatic and asymptomatic contact lens wearers.
I could have cried when I clicked on the link and found that the abstract of this study ("A review of the complications of lacrimal occlusion with punctal and canalicular plugs", Rabia Bourkiza and Vickie Liee, Orbit, 31(2), 86-93, 2012) was only four sentences. Is there some mysterious medical journal etiquette requiring abstracts from literature review studies to be devoid of actual information? Oh to have free access to all the studies I'd like to read, not just the blurbs that pass
... Nothing particularly groundbreaking here... and I'd like to know how they measured symptoms.
Punctal plugs for treatment of post-LASIK dry eye.
To evaluate the efficacy of punctal plugs for patients with post-LASIK dry eye.
MATERIALS AND METHODS:
A prospective study was conducted on 25 eyes of 18 patients who underwent LASIK. All eyes fulfilled the Japanese dry-eye criteria and had not responded to conventional treatment with
The use of punctal plugs in children.
To evaluate the safety and efficacy of punctal plugs in children with dry eye syndrome.
A retrospective case series of patients who had an insertion of silicone punctal plugs for dry eye syndrome. Data collected included presenting symptoms, signs, systemic disorders if present, type of anaesthesia and complications by the time of last follow-up.