title: Endonasal endoscopic retrieval of lodged silicone punctal plugs:  a case report.
abstract: We present the case of a 59-year-old woman whose silicone punctal plugs migrated distally causing lacrimal obstruction. The plugs were removed from the lacrimal sac during endoscopic endonasal dacrocystorhinostomy and is illustrated by endoscopic photographs and videos taken at the time of surgery. This case highlights the potential complications of punctal plugs and the difficulties posed in retrieving them.
authors.affiliation: Central Middlesex Hospital, Acton Lane, Park Royal, London, NW10 7NS, United Kingdom. khadijahbasheer@yahoo.co.uk
authors.forename: Khadijah
authors.initials: K
authors.lastname: Basheer
authors.forename: Jane
authors.initials: J
authors.lastname: Olver
mesh_terms: D003608:Dacryocystorhinostomy; D020878:Device Removal; D015352:Dry Eye Syndromes / Q000601:surgery; D004724:Endoscopy / Q000379:methods; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007765:Lacrimal Apparatus / Q000000981:diagnostic imaging / Q000601:surgery; D007767:Lacrimal Duct Obstruction / Q000000981:diagnostic imaging / Q000209:etiology; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D019736:Prostheses and Implants / Q000009:adverse effects*; D019919:Prosthesis Implantation; D011877:Radionuclide Imaging; D012826:Silicone Elastomers
chemical_list: D012826:Silicone Elastomers