title: Bilateral simultaneous pyogenic granuloma after perforated punctal plug insertion.
abstract: A 44-year-old woman with recurrent attacks of bilateral adenoviral keratoconjunctivitis infections presented with excessive tearing of 5 months' duration. Slit-lamp examination showed bilateral punctal stenosis. Tearing improved for 2 months after insertion of perforated silicone punctal plugs, after which she had a bilateral foreign-body sensation due to pyogenic granuloma pushing through the lumen of the silicone plugs. The foreign-body sensation improved after removing the plugs and a short course of topical steroid-antibiotic eye drops.
authors.affiliation: Department of Ophthalmology, The University of Jordan, and Jordan University Hospital, Amman, Jordan.
authors.forename: Osama H
authors.initials: OH
authors.lastname: Ababneh
authors.forename: Mohammed M
authors.initials: MM
authors.lastname: Msallam
mesh_terms: D000328:Adult; D003608:Dacryocystorhinostomy; D005143:Eyelids / Q000601:surgery*; D005260:Female; D017789:Granuloma, Pyogenic / Q000209:etiology*; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000209:etiology*; D019919:Prosthesis Implantation; D015607:Stents / Q000009:adverse effects*