The Chris Wolfe Podcast: Clinical Roundtable: Rethinking Punctal Occlusion in Modern Dry Eye Care

In this thought-provoking clinical roundtable, Dr. Chris Wolfe is joined by Dr. Shane Kannarr and Dr. Aaron Werner to unpack the real-world implications of Lacrifill, a novel hyaluronic acid-based punctal occlusion device that’s changing the conversation around dry eye management. What starts as a lighthearted discussion about plumbing and practice life quickly turns into a deep dive into how Lacrifill may reshape our protocols, especially in a landscape where traditional plugs have fallen out of favor. From staining outcomes and HA elution to procedural technique and patient selection strategies, this episode is packed with critical thinking, clinical transparency, and honest questions. Topics Covered: How Lacrifill differs from traditional punctal plugs Why inflammation changed the game—and may be causing underuse of occlusion The value of fluorescein and lissamine staining, lid wiper epitheliopathy, and neurotrophic keratopathy Real-world feedback: injection technique, cannula size, managing patient discomfort Strategic use in seasonal dry eye, post-cataract care, and diagnostic dry eye pathways How to build consistent, team-based dry eye protocols that evolve with innovation Whether you’re just beginning to explore dry eye treatment or looking to refine your advanced protocol, this episode provides a candid, collaborative look at how Lacrifill might become more than just the “new plug”—and instead, a pillar in your dry eye strategy. Plus: Tips for integrating procedures more confidently and systematizing care so your entire team delivers better outcomes. Resources: Lacrifill clinical trial and product data (https://lacrifill.com/clinical-trial-and-product-data/) Disposable Blunt Tip Dispensing Needle (https://a.co/d/63bXrPS)   --------------------- For our listeners, use the code 'EYECODEMEDIA22' for 10% off at check out for our Premiere Billing & Coding bundle or our EyeCode Billing & Coding course. Sharpen your billing and coding skills today and leave no money on the table! [email protected] https://coopervision.com/our-company/news-center/press-release/coopervision-and-aoa-join-forces-launch-myopia-collective Go to MacuHealth.com and use the coupon code PODCAST2024 at checkout for special discounts  Show Sponsors: CooperVision MacuHealth