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In this video, permanent punctal occlusion is performed with high-temperature thermal cautery for the treatment of refractory ocular surface dryness, in this case due to graft-versus-host disease.
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1. Ervin A-M, Law A, Pucker AD. Punctal occlusion for dry eye syndrome. Cochrane Database Syst Rev 2017;6:CD006775.
2. Balaram M, Schaumberg DA, Dana MR. Efficacy and tolerability outcomes after punctal occlusion with silicone plugs in dry eye syndrome. Am J Ophthalmol 2001;131:30–36.
3. Dohlman CH. Punctal occlusion in keratoconjunctivitis sicca. Ophthalmology 1978;85:1277–1281.
4. Yaguchi S, Ogawa Y, Kamoi M, et al. Surgical management of lacrimal punctal cauterization in chronic GVHD-related dry eye with recurrent punctal plug extrusion. Bone Marrow Transplant 2012;47:1465–1469.
5. Wang Y, Carreno-Galeano JT, Singh RB, et al. Long-term Outcomes of Punctal Cauterization in the Management of Ocular Surface Diseases. Cornea 2021;40:168–171.
6. Ohba E, Dogru M, Hosaka E, et al. Surgical Punctal Occlusion With a High Heat-Energy Releasing Cautery Device for Severe Dry Eye With Recurrent Punctal Plug Extrusion. American Journal of Ophthalmology 2011;151:483-487.e1.
7. Kaido M, Goto E, Dogru M, Tsubota K. Punctal occlusion in the management of chronic Stevens–Johnson syndrome. Ophthalmology 2004;111:895–900.
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This is approved for 0.5 AMA PRA Category 1 Credit™ via CineMed (ACCME / ACPE / ANCC). The two viewing modes are different — pick what fits your time.
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