| Canaliculitis Associated With SmartPlugtrade mark Punctal Plug Insertion: Clinical Features and Management. |
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Min Joung Lee, Kyeong Wook Lee, Nam Ju Kim, Ho Kyung Choung, Sang In Khwarg |
1Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea. khwarg@snu.ac.kr
2Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea.
3Department of Ophthalmology, Seoul National University Bundang Hospital, Seoul, Korea.
4Department of Ophthalmology, Seoul National University Boramae Hospital, Seoul, Korea. |
| 스마트 눈물점마개 삽입 후 발생한 눈물소관염의 임상양상과 치료 |
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이민정1,2ㆍ이경욱1,2ㆍ김남주1,3ㆍ정호경1,4ㆍ곽상인1,2 |
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Department of Ophthalmology, Seoul National University College of Medicine1, Seoul, Korea / Department of Ophthalmology, Seoul National University Hospital2, Seoul, Korea / Department of Ophthalmology, Seoul National University Bundang Hospital3, Seoul, Korea / Department of Ophthalmology, Seoul National University Boramae Hospital4, Seoul, Korea |
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| 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. |
| Key Words:
Canaliculitis;Complication;Punctal plug;SmartPlug |
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