Alacrima Follow-up

Updated: Jun 28, 2016
  • Author: Dan D DeAngelis, MD, FRCSC; Chief Editor: Hampton Roy, Sr, MD  more...
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Follow-up

Further Outpatient Care

Instruct patients to return if they experience either of the following:

  • They remain symptomatic despite their current treatment regimen.
  • They begin to develop new symptoms.
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Complications

Disease-related complications include the following:

Treatment-related complications that may occur with punctal plugs include the following:

  • Local irritation
  • Epiphora
  • Plug extrusion
  • Canaliculitis
  • Recurrent dacryocystitis
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Prognosis

Long-term follow-up care is essential because of the possible development of keratoconjunctivitis sicca and corneal decompensation.

When associated with systemic disease, the condition can be fatal due to secondary autonomic and endocrine dysfunction.

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