Pyogenic granuloma: a rare complication of silicone punctal plugs.
To describe pyogenic granuloma formation associated with silicone punctal plugs. A 65-year-old woman with severe dry eye was treated with silicone punctal plugs in both upper and lower puncta. After 14 months of success with the plugs, the patient presented with a fleshy ampullary lesion overlying the plugged superior punctum of her right eye. It was clinically diagnosed as a pyogenic granuloma, and the silicone plug was removed. Since the lesion persisted for 1 month, it was surgically removed. Histopathologic examination confirmed the diagnosis of pyogenic granuloma. A new plug was inserted and tolerated well. The routine use of silicone plugs are recommended as long as patients are informed of possible rare complications.
Baskent University Faculty of Medicine, Department of Ophthalmology, Bahçelievler, Ankara, Turkey. ma08-k@tr-net.net.tr
Y A
YA
Akova
B
B
Demirhan
S
S
Cakmakçi
P
P
Aydin
D000368:Aged; D020878:Device Removal; D015352:Dry Eye Syndromes / Q000601:surgery; D005141:Eyelid Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D017789:Granuloma, Pyogenic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D012086:Reoperation; D012826:Silicone Elastomers / Q000009:adverse effects*
D012826:Silicone Elastomers