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Bilateral canaliculitis following SmartPLUG insertion for dry eye syndrome post LASIK surgery.
Graefes Arch Clin Exp Ophthalmol. 2007 Jun; 245(6):895-7.GA

Abstract

BACKGROUND

Dry eyes are a common symptom following LASIK corneal refractive surgery. Treatments include topical lubricants to supplement the tear film, and punctal occlusion to reduce tear outflow. Canaliculitis is a recognised complication of punctal plugs, but has not previously been described following insertion of newer generation semi-permanent intra-canalicular plugs, such as the SmartPLUG.

METHODS

Case report.

RESULTS

We describe a 60-year-old female who underwent bilateral LASIK surgery leading to aggravation of her dry eye syndrome. She was managed with the insertion of semi-permanent intra-canalicular moldable silicone SmartPLUGs. She subsequently developed bilateral canaliculitis requiring bilateral canaliculotomy.

CONCLUSIONS

To the best of our knowledge, this is the first report of bilateral canaliculitis following intra-canalicular SmartPLUG insertion. This case illustrates that punctal occlusion with the newer generation intra-canalicular plugs carries a risk of canaliculitis and that irrigation is not always effective in removing these devices.

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Publisher Full Text

Authors+Show Affiliations

Scheepers M
Royal Berkshire Hospital, Reading, Berkshire, RG1 5AN, UK.
Pearson A
No affiliation info available
Michaelides M
No affiliation info available

MeSH

DacryocystitisDevice RemovalDry Eye SyndromesEmpyemaFemaleHumansKeratomileusis, Laser In SituLacrimal ApparatusMiddle AgedPostoperative ComplicationsProstheses and ImplantsProsthesis ImplantationStaphylococcal Infections

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17120003

Citation

Scheepers, Marius, et al. "Bilateral Canaliculitis Following SmartPLUG Insertion for Dry Eye Syndrome Post LASIK Surgery." Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie, vol. 245, no. 6, 2007, pp. 895-7.
Scheepers M, Pearson A, Michaelides M. Bilateral canaliculitis following SmartPLUG insertion for dry eye syndrome post LASIK surgery. Graefes Arch Clin Exp Ophthalmol. 2007;245(6):895-7.
Scheepers, M., Pearson, A., & Michaelides, M. (2007). Bilateral canaliculitis following SmartPLUG insertion for dry eye syndrome post LASIK surgery. Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie, 245(6), 895-7.
Scheepers M, Pearson A, Michaelides M. Bilateral Canaliculitis Following SmartPLUG Insertion for Dry Eye Syndrome Post LASIK Surgery. Graefes Arch Clin Exp Ophthalmol. 2007;245(6):895-7. PubMed PMID: 17120003.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilateral canaliculitis following SmartPLUG insertion for dry eye syndrome post LASIK surgery. AU - Scheepers,Marius, AU - Pearson,Andrew, AU - Michaelides,Michel, Y1 - 2006/11/22/ PY - 2006/07/08/received PY - 2006/09/16/accepted PY - 2006/08/29/revised PY - 2006/11/23/pubmed PY - 2007/9/18/medline PY - 2006/11/23/entrez SP - 895 EP - 7 JF - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JO - Graefes Arch Clin Exp Ophthalmol VL - 245 IS - 6 N2 - BACKGROUND: Dry eyes are a common symptom following LASIK corneal refractive surgery. Treatments include topical lubricants to supplement the tear film, and punctal occlusion to reduce tear outflow. Canaliculitis is a recognised complication of punctal plugs, but has not previously been described following insertion of newer generation semi-permanent intra-canalicular plugs, such as the SmartPLUG. METHODS: Case report. RESULTS: We describe a 60-year-old female who underwent bilateral LASIK surgery leading to aggravation of her dry eye syndrome. She was managed with the insertion of semi-permanent intra-canalicular moldable silicone SmartPLUGs. She subsequently developed bilateral canaliculitis requiring bilateral canaliculotomy. CONCLUSIONS: To the best of our knowledge, this is the first report of bilateral canaliculitis following intra-canalicular SmartPLUG insertion. This case illustrates that punctal occlusion with the newer generation intra-canalicular plugs carries a risk of canaliculitis and that irrigation is not always effective in removing these devices. SN - 0721-832X UR - https://www.unboundmedicine.com/medline/citation/17120003/Bilateral_canaliculitis_following_SmartPLUG_insertion_for_dry_eye_syndrome_post_LASIK_surgery_ L2 - https://dx.doi.org/10.1007/s00417-006-0462-8 DB - PRIME DP - Unbound Medicine ER -