Pyogenic Granulomas After Silicone Punctal Plugs: A Clinical and Histopathologic Study

Yuen, Kam‐Tong; Cheng, Arthur C.K.; Chan, Wai-Man

doi:10.1016/j.ajo.2005.06.050

Cited by 6 publications

(6 citation statements)

References 4 publications

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“…4 When a canaliculitis presents, it is typically unilateral, and with applied pressure, purulent discharge from the puncta is released. 5 This is the etiology of our case as the pyogenic granuloma is rooted in the involved canaliculi and infectious discharge is later discovered. Blepharitis affects individuals of all ages and ethnicities.…”

Section: What Is the Most Likely Underlying Etiology For This Lesion?mentioning

confidence: 79%

“…11,12 In cases of punctal pyogenic granulomas, underlying causes often include previous insertion of silicone punctal plugs (used for dry eye management), and as seen in our case, lacrimal canaliculitis. 5 The underlying etiology of lacrimal canaliculitis is infectious. Common causative organisms include streptococcal and staphylococcal species.…”

Section: Discussionmentioning

confidence: 99%

“…The presence of sulfur granules or concretions is a known characteristic finding of Actinomyces israelii, a filamentous anaerobic gram-positive bacteria. 5 Actinomyces israelii often presents with other grampositive or gram-negative bacteria. It is also established that Staphylococcus alone can form these canalicular concretions.…”

Section: Discussionmentioning

confidence: 99%

“…The standard treatment is excision of the pyogenic granuloma. 5 The lesion in our case was excised under local anesthesia. Once the lesion had been removed, the pressure was applied to the lower eyelid with a cotton tip applicator.…”

Section: Treatmentmentioning

confidence: 95%

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A New Eyelid Growth

Skorin

Westall

2019

OFP

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A 69-year-old Caucasian female presents to the eye clinic with a complaint of a new itchy growth on her left lower eyelid. Over the previous two weeks the irritation caused by the lesion has become increasingly bothersome. The lesion appears as a pink growth within the nasal canthus. She has also been experiencing excessive tearing and purulent discharge of the left eye. The patient denies having similar lesions in the past. Warm compresses and artificial tears has not relieved any of her symptoms. On physical examination, a soft, non-tender, flesh-colored lesion is protruding from the patient's left lower puncta. The round lesion is entirely blocking the puncta (Figure 1 and Figure 2). It is vascularized with a smooth mucosal appearance. There is additional inflammation surrounding the lesion in the nasal region of the lower eyelid. There are no additional abnormalities to the lids, lashes, or conjunctiva of either eye.

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Section: What Is the Most Likely Underlying Etiology For This Lesion?mentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 95%

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A New Eyelid Growth

Skorin

Westall

2019

OFP

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“…Los tapones de silicona se utilizan mayoritariamente desde hace años. Se han descrito como complicaciones de estos tapones la extrusión espontánea del tapón o la formación de un granuloma piógeno (3,4), complicaciones ambas que obligan a la extracción quirúrgica del mismo.…”

Section: Introductionunclassified

Granuloma piógeno en tapones lagrimales smart plug

Pastor-Pascual

Aviñó-Martínez

España‐Gregori

et al. 2007

Arch Soc Esp Oftalmol

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RESUMENCaso clínico: Mujer de 65 años, diagnosticada de ojo seco, acude por aparición de tumoración en canto interno con sensación de cuerpo extraño. Tres años antes se le habían implantado tapones lagrimales SmartPlug en ambos puntos lagrimales inferiores. Se apreció un granuloma en el punto lagrimal inferior izquierdo que se extirpó. Dos semanas después presentó una recidiva lo que obligó a extraer el implante quedándose desde entonces asintomática. Discusión: Estamos ante un granuloma piógeno en un implante punctal SMART PLUG, complicación descrita clásicamente con los implantes de silicona, debido posiblemente a la irritación crónica de los detritus acumulados. Esta complicación obliga a extraer los tapones.Palabras clave: Ojo seco, tapones lagrimales, Smart Plug, granuloma piógeno, parche punctal. COMUNICACIÓN CORTA ABSTRACTCase report: We report the case of a 65-year-old woman with dry eye syndrome who was referred because of a red mass in the internal left canthus. Three years previously two Smart Plugs had been introduced into both lacrimal punctums of that eye. We diagnosed a pyogenic granuloma and removed it. Two weeks later a new granuloma developed so both the granuloma and the punctal plug were removed. The patient became asymptomatic following this latter procedure. Discussion: A pyogenic granuloma in a Smart Plug punctum is described. This rare complication is generally associated with the use of silicone punctal plugs, being possibly caused by the chronic irritation of the accumulated detritus and necessitating removal of the plug (Arch Soc Esp Oftalmol 2007; 82: 653-656).

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Skin and Lacrimal Drainage System

Yanoff

Sassani

2009

Ocular Pathology

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Pyogenic Granulomas After Silicone Punctal Plugs: A Clinical and Histopathologic Study

Cited by 6 publications

References 4 publications

A New Eyelid Growth

A New Eyelid Growth

Granuloma piógeno en tapones lagrimales smart plug

Skin and Lacrimal Drainage System

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