Canaliculitis Associated With SmartPlugtrade mark Punctal Plug Insertion: Clinical Features and Management.
10.3341/jkos.2009.50.6.821
- Author:
Min Joung LEE
1
;
Kyeong Wook LEE
;
Nam Ju KIM
;
Ho Kyung CHOUNG
;
Sang In KHWARG
Author Information
1. Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea. khwarg@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Canaliculitis;
Complication;
Punctal plug;
SmartPlug
- MeSH:
Corneal Ulcer;
Curettage;
Dacryocystitis;
Female;
Humans;
Male;
Patient Selection;
Retrospective Studies;
Canaliculitis
- From:Journal of the Korean Ophthalmological Society
2009;50(6):821-825
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report the clinical features and treatment of canaliculitis associated with SmartPlug punctal plug insertion. METHODS: Case selection criteria included patients with canaliculitis, who were managed at Seoul National University Hospital from January 2006 to October 2008, presenting with a history of punctal plug insertion. The operation reports were reviewed to identify patients in whom SmartPlug was discovered during the operation. Six patients (8 eyes) were identified, and a retrospective chart review was performed for all the patients. RESULTS: The mean age of the patients was 34.3+/-8.6 years, and there were 1 men and 5 women. Common symptoms were mucous discharge (6 eyes) and conjunctival injection (2 eyes). The mean time from insertion of the plug to onset of symptoms was 27.0+/-27.0 months (range 4 to 77 months). All patients underwent surgical removal of the punctal plug by one-snip punctoplasty, canalicular retrograde compression using 2 cotton-tipped applications (2 eyes), or canalicular curettage (6 eyes). All patients had resolution of symptoms after the procedure. CONCLUSIONS: Canaliculitis should be considered when there is conjunctival discharge or injection in patients with SmartPlug. One-snip punctoplasty and retrograde compression of canaliculus can be attempted preferentially as a minimally-invasive treatment option.
