title: Incomplete extrusion of an acrylic punctum plug in a case of severe dry eye syndrome.
abstract: OBJECTIVE
  To report a case of extrusion of a new soft punctum plug with thermoexpansion property (Medennium SmartPLUG).
  
  
  METHODS
  A soft punctum plug was implanted in a 32-year-old woman with a severe dry eye syndrome in juvenile arthritis.
  
  
  RESULTS
  One week after implant the plug partially extruded outside the punctum. Despite this adverse event, all subjective dry eye symptoms improved.
  
  
  CONCLUSIONS
  The peculiarity of this case is the persistence of clinical efficacy of the soft punctum plug even if partially extruded. The patient experienced relief of symptoms that can be compared to the benefits usually obtained with a successfully implanted silicon plug.
authors.affiliation: Department of Ophthalmology and Visual Sciences, University Hospital San Raffaele, Milano - Italy.
authors.forename: F
authors.initials: F
authors.lastname: Fasce
authors.forename: R
authors.initials: R
authors.lastname: Brancato
mesh_terms: D000180:Acrylic Resins; D000328:Adult; D001171:Arthritis, Juvenile / Q000150:complications; D001672:Biocompatible Materials; D015352:Dry Eye Syndromes / Q000150:complications / Q000601:surgery*; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology*; D006801:Humans; D007765:Lacrimal Apparatus / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D019736:Prostheses and Implants
chemical_list: D000180:Acrylic Resins; D001672:Biocompatible Materials