title: Pyogenic granuloma formation following placement of the Medennium SmartPLUG punctum plug.
abstract: OBJECTIVE
  To report a complication, not previously described, of the Medennium SmartPLUG, which is a new punctal plug with a novel design.
  
  
  METHODS
  Two case reports are detailed, including clinical and pathologic photographs.
  
  
  RESULTS
  Case 1 is a 58-year-old woman with Sjögren syndrome. Nearly 2 years following placement of a SmartPLUG in her right lower canaliculus, the patient presented with an erythematous, papillomatous growth overlying her punctum. Biopsy demonstrated pyogenic granuloma. Case 2 is a 62-year-old woman with dry eye. Exactly 2 years after a SmartPLUG was place in her right lower canaliculus, she also developed a pyogenic granuloma. After irrigation to remove the plug, the growth decreased in size.
  
  
  CONCLUSIONS
  Pyogenic granuloma can develop as a late complication of the Medennium SmartPLUG punctum plug.
authors: Ophthalmic Consultants of Long Island, Rockville Centre, New York 11570, USA.
authors: Timothy Y
authors: TY
authors: Chou
authors: Henry D
authors: HD
authors: Perry
authors: Eric D
authors: ED
authors: Donnenfeld
authors: Renee
authors: R
authors: Solomon