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.
Akova
Y A
YA
Baskent University Faculty of Medicine, Department of Ophthalmology, Bahçelievler, Ankara, Turkey. ma08-k@tr-net.net.tr
Demirhan
B
B
Cakmakçi
S
S
Aydin
P
P
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