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Prevalence of canaliculitis requiring removal of SmartPlugs.
Ophthalmic Plast Reconstr Surg. 2009 Nov-Dec; 25(6):437-9.OP

Abstract

PURPOSE

To report the first accurate prevalence of canaliculitis associated with the use of the SmartPlug.

METHODS

All patients from a single private ophthalmology practice who received SmartPlugs from 2002 to 2007 were identified. All patients from the private ophthalmology practice that developed canaliculitis secondary to SmartPlug insertion were referred to a single private ophthalmic plastic and reconstructive surgery office. A retrospective review of those 17 patients was performed.

RESULTS

From 2002 to 2007, a total of 235 patients were identified from a single private ophthalmology practice with a total of 402 SmartPlugs inserted. Of those 235 patients, 17 developed canaliculitis and were referred to a single private ophthalmic plastic and reconstructive surgery office. The prevalence of canaliculitis per patient was 7.23%. The prevalence of canaliculitis per SmartPlug inserted was 4.73%. The average time from SmartPlugs insertion to onset of symptoms was 3 years. All affected patients required canaliculotomy and plug removal.

CONCLUSIONS

This is the first study reporting the prevalence of canaliculitis associated with the use of the SmartPlug. All affected patients required surgical intervention, after which many continued to have dry eye and one required bilateral Jones tubes. Ophthalmologists using the SmartPlug for the treatment of dry eye syndrome should carefully weigh the risks and benefits of their use.

Authors+Show Affiliations

Department of Ophthalmology, SUNY Upstate Medical University, Syracuse, New York 13210, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19935244

Citation

Hill, Robert H., et al. "Prevalence of Canaliculitis Requiring Removal of SmartPlugs." Ophthalmic Plastic and Reconstructive Surgery, vol. 25, no. 6, 2009, pp. 437-9.
Hill RH, Norton SW, Bersani TA. Prevalence of canaliculitis requiring removal of SmartPlugs. Ophthalmic Plast Reconstr Surg. 2009;25(6):437-9.
Hill, R. H., Norton, S. W., & Bersani, T. A. (2009). Prevalence of canaliculitis requiring removal of SmartPlugs. Ophthalmic Plastic and Reconstructive Surgery, 25(6), 437-9. https://doi.org/10.1097/IOP.0b013e3181b80d63
Hill RH, Norton SW, Bersani TA. Prevalence of Canaliculitis Requiring Removal of SmartPlugs. Ophthalmic Plast Reconstr Surg. 2009 Nov-Dec;25(6):437-9. PubMed PMID: 19935244.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of canaliculitis requiring removal of SmartPlugs. AU - Hill,Robert H,3rd AU - Norton,Sylvia W, AU - Bersani,Thomas A, PY - 2009/11/26/entrez PY - 2009/11/26/pubmed PY - 2010/1/9/medline SP - 437 EP - 9 JF - Ophthalmic plastic and reconstructive surgery JO - Ophthalmic Plast Reconstr Surg VL - 25 IS - 6 N2 - PURPOSE: To report the first accurate prevalence of canaliculitis associated with the use of the SmartPlug. METHODS: All patients from a single private ophthalmology practice who received SmartPlugs from 2002 to 2007 were identified. All patients from the private ophthalmology practice that developed canaliculitis secondary to SmartPlug insertion were referred to a single private ophthalmic plastic and reconstructive surgery office. A retrospective review of those 17 patients was performed. RESULTS: From 2002 to 2007, a total of 235 patients were identified from a single private ophthalmology practice with a total of 402 SmartPlugs inserted. Of those 235 patients, 17 developed canaliculitis and were referred to a single private ophthalmic plastic and reconstructive surgery office. The prevalence of canaliculitis per patient was 7.23%. The prevalence of canaliculitis per SmartPlug inserted was 4.73%. The average time from SmartPlugs insertion to onset of symptoms was 3 years. All affected patients required canaliculotomy and plug removal. CONCLUSIONS: This is the first study reporting the prevalence of canaliculitis associated with the use of the SmartPlug. All affected patients required surgical intervention, after which many continued to have dry eye and one required bilateral Jones tubes. Ophthalmologists using the SmartPlug for the treatment of dry eye syndrome should carefully weigh the risks and benefits of their use. SN - 1537-2677 UR - https://www.unboundmedicine.com/medline/citation/19935244/Prevalence_of_canaliculitis_requiring_removal_of_SmartPlugs_ L2 - https://doi.org/10.1097/IOP.0b013e3181b80d63 DB - PRIME DP - Unbound Medicine ER -