Follow-up
Further Outpatient Care
Instruct patients to return if they experience either of the following:
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They remain symptomatic despite their current treatment regimen.
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They begin to develop new symptoms.
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Complications
Disease-related complications include the following:
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Corneal decompensation
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Recurrent corneal erosion
Treatment-related complications that may occur with punctal plugs include the following:
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Local irritation
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Epiphora
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Plug extrusion
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Canaliculitis
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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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